# FERGUSON MEDICAL GROUP RURAL HEALTH CENTER INC.

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1245361427
- **Authorized official:** STEPHANIE V KOEHLER (REVENUE CYCLE DIRECTOR)
- **Authorized official phone:** (573) 471-0330

## Contact information

- **Practice address:** 100 E OUTER RD, SCOTT CITY, MO 63780-1229
- **Practice address phone:** (573) 264-2211
- **Practice address fax:** (573) 264-2177
- **Mailing address:** PO BOX 1068, SIKESTON, MO 63801
- **Mailing address phone:** (573) 471-0330
- **Mailing address fax:** (573) 481-5019

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | — | NULL | Yes |
| 207Q00000X | Family Medicine Physician | — | — | Yes |

## Other

- **Enumeration date:** 03/08/2007
- **Last updated:** 06/22/2017