Organization
FERGUSON MEDICAL GROUP RURAL HEALTH CENTER INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
STEPHANIE V KOEHLER (REVENUE CYCLE DIRECTOR)
(573) 471-0330
Entity
Organization
Contact information
Practice address
100 E OUTER RD, SCOTT CITY, MO 63780-1229
(573) 264-2211
(573) 264-2177
Mailing address
PO BOX 1068, SIKESTON, MO 63801
(573) 471-0330
(573) 481-5019
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
597361104
—
MO
Enumeration date
03/08/2007
Last updated
06/22/2017
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