# FERGUSON MEDICAL GROUP RURAL HEALTH CENTER INC.

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

## Provider details

- **NPI number:** 1285655100
- **Authorized official:** MR. JAMES SHILL (CEO)
- **Authorized official phone:** (573) 471-0330

## Contact information

- **Practice address:** 1012 N MAIN ST, SIKESTON, MO 63801-5044
- **Practice address phone:** (573) 471-0330
- **Practice address fax:** (573) 472-2966
- **Mailing address:** PO BOX 1068, SIKESTON, MO 63801-1068
- **Mailing address phone:** (573) 471-0330
- **Mailing address fax:** (573) 472-2966

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 103K00000X | Behavior Analyst | — | NULL | — |
| 103K00000X | Behavior Analyst | — | — | — |
| 207Q00000X | Family Medicine Physician | — | MO | Yes |
| 207R00000X | Internal Medicine Physician | — | MO | — |
| 208000000X | Pediatrics Physician | — | MO | — |

## Other

- **Enumeration date:** 07/23/2006
- **Last updated:** 06/15/2017