| Katy Trail Community Health | |
|
1825 Atchison Ave Marshall MO 65340-9752 | |
| (877) 733-5824 | |
| Not Available |
| Full Name | Katy Trail Community Health |
|---|---|
| Speciality | Clinic/Center |
| Location | 1825 Atchison Ave, Marshall, Missouri |
| Authorized Official Name and Position | Michael Waller (CEO) |
| Authorized Official Contact | 6608264774 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Katy Trail Community Health 821 Westwood Dr Sedalia MO 65301-2102 Ph: (660) 826-4774 | Katy Trail Community Health 1825 Atchison Ave Marshall MO 65340-9752 Ph: (877) 733-5824 |
| NPI Number | 1972981942 |
|---|---|
| Provider Enumeration Date | 05/11/2015 |
| Last Update Date | 02/21/2024 |
| Certification Date | 02/21/2024 |
| Medicare PECOS PAC ID | 8224926092 |
|---|---|
| Medicare Enrollment ID | O20150617000661 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1972981942 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | () | Primary |
Regional Health Care Clinic Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 805 S Miami Ave, Marshall, MO 65340 Phone: 660-826-4774 |
Marshall Family Practice Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 2305 South 65 Highway, Building A, Marshall, MO 65340 Phone: 660-886-7800 Fax: 660-831-3328 |
Mid-missouri Family Health, LLC Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 78 S. Jefferson, Marshall, MO 65340 Phone: 660-831-1175 |
Katy Trail - Marshall School Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 313 E Eastwood St, Marshall, MO 65340 Phone: 660-886-7100 |
Mid Missouri Family Health at Fitzgibbon Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 2303 S Highway 65 Ste A, Marshall, MO 65340 Phone: 660-831-1175 Fax: 660-831-1195 |
D. J. Fahnestock, D. C., P. C. Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 269 S Jefferson Ave, Marshall, MO 65340 Phone: 660-886-6903 Fax: 660-886-6904 |