# FERGUSON MEDICAL GROUP RURAL HEALTH CENTER INC.

> 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:** 1922332766
- **Authorized official:** MR. JAMES SHILL (CEO)
- **Authorized official phone:** (573) 471-0330

## Contact information

- **Practice address:** 112 W COMMERCIAL ST, CHARLESTON, MO 63834-1601
- **Practice address phone:** (573) 683-4010
- **Practice address fax:** (573) 683-2167
- **Mailing address:** PO BOX 1068, SIKESTON, MO 63801-1068
- **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 |
| 208000000X | Pediatrics Physician | — | NULL | — |
| 208000000X | Pediatrics Physician | — | — | — |

## Other

- **Enumeration date:** 09/28/2009
- **Last updated:** 07/21/2022