| Katy Trail - Marshall School | |
|
313 E Eastwood St Marshall MO 65340-1413 | |
| (660) 886-7100 | |
| Not Available |
| Full Name | Katy Trail - Marshall School |
|---|---|
| Speciality | Clinic/Center |
| Location | 313 E Eastwood St, Marshall, Missouri |
| Authorized Official Name and Position | Michael Waller (CEO) |
| Authorized Official Contact | 5733782349 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Katy Trail - Marshall School 821 Westwood Dr Sedalia MO 65301-2102 Ph: (660) 826-4774 | Katy Trail - Marshall School 313 E Eastwood St Marshall MO 65340-1413 Ph: (660) 886-7100 |
| NPI Number | 1134695372 |
|---|---|
| Provider Enumeration Date | 10/15/2018 |
| Last Update Date | 02/21/2024 |
| Medicare PECOS PAC ID | 8224926092 |
|---|---|
| Medicare Enrollment ID | O20200226001375 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1134695372 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
Marshall Family Practice Primary Care Clinic Medicare: Not Enrolled in Medicare 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 | |
Mid Missouri Family Health At Fitzgibbon Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 4 N Jefferson Ave, 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 |