| Missouri Valley Physicians A Division Of Jcmg | |
|
2303 S Highway 65 Ste A Marshall MO 65340-3735 | |
| (660) 886-3364 | |
| (660) 886-6044 |
| Full Name | Missouri Valley Physicians A Division Of Jcmg |
|---|---|
| Speciality | Clinic/Center |
| Location | 2303 S Highway 65 Ste A, Marshall, Missouri |
| Authorized Official Name and Position | Melissa G Astin (VP OF OPERATIONS) |
| Authorized Official Contact | 5735567774 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Missouri Valley Physicians A Division Of Jcmg Po Box 104240 Jefferson City MO 65110-4240 Ph: (573) 556-5771 | Missouri Valley Physicians A Division Of Jcmg 2303 S Highway 65 Ste A Marshall MO 65340-3735 Ph: (660) 886-3364 |
| NPI Number | 1437668746 |
|---|---|
| Provider Enumeration Date | 09/29/2017 |
| Last Update Date | 03/29/2019 |
| Medicare PECOS PAC ID | 1850371089 |
|---|---|
| Medicare Enrollment ID | O20171023001757 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1437668746 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QR1300X | Clinic/center - Rural Health | (* (Not Available)) | Primary |
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