| Family Dental Center At Marceline | |
|
1600 N Missouri Ave Marceline MO 64658-1012 | |
| (660) 376-2038 | |
| (660) 376-3011 |
| Full Name | Family Dental Center At Marceline |
|---|---|
| Speciality | Clinic/center - Federally Qualified Health Center (fqhc) |
| Location | 1600 N Missouri Ave, Marceline, Missouri |
| Authorized Official Name and Position | Teresa L Porter (CREDENTIALING MANAGER) |
| Authorized Official Contact | 6608908156 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Family Dental Center At Marceline 1800 Community Clinton MO 64735-8804 Ph: (660) 885-8131 | Family Dental Center At Marceline 1600 N Missouri Ave Marceline MO 64658-1012 Ph: (660) 376-2038 |
| NPI Number | 1972920213 |
|---|---|
| Provider Enumeration Date | 03/25/2014 |
| Last Update Date | 09/15/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1972920213 | NPI | - | NPPES |
| 1972920213 | Medicaid | MO |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
Family Health Center At Marceline Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1600 N Missouri Ave, Marceline, MO 64658 Phone: 660-376-2038 Fax: 660-376-3011 |