Organization
FERGUSON MEDICAL GROUP RURAL HEALTH CENTER INC
Active
Parent organization
CICADA INC
Other names
Ferguson Medical Group
Organization subpart
Yes
Provider details
NPI number
Legal business name
CICADA INC
Authorized official
MR. JAMES SHILL (CEO)
(573) 471-0330
Entity
Organization
Contact information
Practice address
320 N LINCOLN ST, EAST PRAIRIE, MO 63845-1160
(573) 649-3026
(573) 649-5600
Mailing address
PO BOX 1068, SIKESTON, MO 63801-5044
(573) 471-0330
(573) 481-5019
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
595954116
—
MO
Enumeration date
07/23/2006
Last updated
06/15/2017
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