| Macon Family Health | |
|
209 N Missouri St Macon MO 63552-2151 | |
| (660) 395-5045 | |
| (660) 395-5048 |
| Full Name | Macon Family Health |
|---|---|
| Speciality | Clinic/Center |
| Location | 209 N Missouri St, Macon, Missouri |
| Authorized Official Name and Position | Andrew H Grimm (CEO) |
| Authorized Official Contact | 6606275757 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Macon Family Health 1416 Crown Dr Kirksville MO 63501-2548 Ph: (660) 627-5757 | Macon Family Health 209 N Missouri St Macon MO 63552-2151 Ph: (660) 395-5045 |
| NPI Number | 1487038881 |
|---|---|
| Provider Enumeration Date | 07/15/2015 |
| Last Update Date | 11/11/2015 |
| Medicare PECOS PAC ID | 1658280805 |
|---|---|
| Medicare Enrollment ID | O20160210000554 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1487038881 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
Macon Dental Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 209 N Missouri St, Macon, MO 63552 Phone: 660-627-5757 Fax: 660-627-5802 | |
Mcpherson Medical & Diagnostic Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1706 Prospect Dr, Macon, MO 63552 Phone: 660-385-1008 Fax: 660-385-1062 |