# M D M DO LLC

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Other names:** Heritage Medical Clinic
- **Organization subpart:** No

## Provider details

- **NPI number:** 1245554815
- **Authorized official:** DR. MARK D MATTHEWS DO (OWNER/PHYSICIAN)
- **Authorized official phone:** (417) 635-1177

## Contact information

- **Practice address:** 825 E HIGHWAY 60, SUITE H, MONETT, MO 65708-9311
- **Practice address phone:** (417) 635-1177
- **Practice address fax:** (417) 635-1180
- **Mailing address:** 101 MAIN ST STE 1, CASSVILLE, MO 65625-1651
- **Mailing address phone:** (417) 846-2277
- **Mailing address fax:** (417) 846-0176

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QR1300X | Rural Health Clinic/Center | 114771 | MO | Yes |

## Other

- **Enumeration date:** 03/25/2010
- **Last updated:** 10/13/2010