| State Of Missouri | |
|
1547 W Commerce Drive Marshall MO 65340-3907 | |
| (660) 886-2201 | |
| (660) 886-3055 |
| Full Name | State Of Missouri |
|---|---|
| Speciality | General Practice |
| Location | 1547 W Commerce Drive, Marshall, Missouri |
| Authorized Official Name and Position | Molly Jane Boeckmann (DIRECTOR OF ADMINISTRATIVE SERVICES) |
| Authorized Official Contact | 5737514055 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| State Of Missouri Po Box 190 Marshall MO 65340-0190 Ph: (660) 886-2201 | State Of Missouri 1547 W Commerce Drive Marshall MO 65340-3907 Ph: (660) 886-2201 |
| NPI Number | 1275073280 |
|---|---|
| Provider Enumeration Date | 02/24/2017 |
| Last Update Date | 10/15/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1275073280 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208D00000X | General Practice | (* (Not Available)) | Primary |
John Fitzgibbon Memorial Hospital Inc 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 | |
Regional Health Care Clinic, Inc. Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 313 E Eastwood St, Marshall, MO 65340 Phone: 660-886-7100 | |
John Fitzgibbon Memorial Hospital Inc 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 | |
Ulbrich Family Medicine, Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 2301 S Highway 65, Suite 2, Marshall, MO 65340 Phone: 660-631-3386 | |
Missouri Valley Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 500 E College St, Marshall, MO 65340 Phone: 660-831-4000 |