# WALK IN MEDICAL CLINIC

> 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
- **Organization subpart:** No

## Provider details

- **NPI number:** 1659682938
- **Authorized official:** MR. MARVIN L. MACK MD (OWNER)
- **Authorized official phone:** (573) 449-2216

## Contact information

- **Practice address:** 900 RAIN FOREST PKWY STE B, COLUMBIA, MO 65202-3796
- **Practice address phone:** (573) 449-2216
- **Practice address fax:** (573) 449-2217
- **Mailing address:** 900 RAIN FOREST PKWY STE B, COLUMBIA, MO 65202-3796
- **Mailing address phone:** (573) 449-2216
- **Mailing address fax:** (573) 449-2217

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261Q00000X | Clinic/Center | 36389 | MO | Yes |

## Other

- **Enumeration date:** 07/01/2010
- **Last updated:** 07/01/2010