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Organization
FERGUSON MEDICAL GROUP RURAL HEALTH CENTER INC.
Active
Organization
FERGUSON MEDICAL GROUP RURAL HEALTH CENTER INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JAMES SHILL (CEO)
(573) 471-0330
Entity
Organization
Contact information
Practice address
112 W COMMERCIAL ST, CHARLESTON, MO 63834-1601
(573) 683-4010
(573) 683-2167
Mailing address
PO BOX 1068, SIKESTON, MO 63801-1068
(573) 471-0330
(573) 481-5019
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
NULL
207Q00000X
Family Medicine Physician
Primary
—
—
208000000X
Pediatrics Physician
—
NULL
208000000X
Pediatrics Physician
—
—
Other
Enumeration date
09/28/2009
Last updated
07/21/2022
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