| Marble Hill Medical Clinic, Llc | |
|
307 Broadway St. Marble Hill MO 63764-8321 | |
| (573) 238-0038 | |
| (573) 238-0042 |
| Full Name | Marble Hill Medical Clinic, Llc |
|---|---|
| Speciality | Clinic/Center |
| Location | 307 Broadway St., Marble Hill, Missouri |
| Authorized Official Name and Position | Suzanne R Matthews (OWNER) |
| Authorized Official Contact | 5739868705 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Marble Hill Medical Clinic, Llc 307 Broadway St. Marble Hill MO 63764-8321 Ph: (573) 238-0038 | Marble Hill Medical Clinic, Llc 307 Broadway St. Marble Hill MO 63764-8321 Ph: (573) 238-0038 |
| NPI Number | 1831515907 |
|---|---|
| Provider Enumeration Date | 03/12/2014 |
| Last Update Date | 03/12/2014 |
| Medicare PECOS PAC ID | 3678704764 |
|---|---|
| Medicare Enrollment ID | O20140822001983 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1831515907 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QR1300X | Clinic/center - Rural Health | (* (Not Available)) | Primary |
| Provider Name | Suzanne R Matthews |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1194022921 PECOS PAC ID: 0547491748 Enrollment ID: I20140402000563 |
Bollinger County Health Center Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 107 Hwy 51 N, Marble Hill, MO 63764 Phone: 573-238-2817 Fax: 573-238-3085 | |
Marble Hill Medical Clinic, Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 307 Broadway St, Marble Hill, MO 63764 Phone: 573-238-0038 Fax: 573-238-0042 | |
Cross Trails Medical Center Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 109 Hwy 51 North, Marble Hill, MO 63764 Phone: 573-238-2725 Fax: 573-238-3795 |