Ferguson Medical Group Rural Health Center, Inc
Organization Active NPI Family Medicine Physician · Dexter, MO
NPI 1225225675 · NPPES record last updated Jul 21, 2022
Key facts
- NPI
- 1225225675
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Family Medicine Physician 207Q00000X
- Legal business name
- FERGUSON MEDICAL GROUP RURAL HEALTH CENTER, INC
- Practice address
- 115 E Business US Highway 60
Dexter, MO 63841-1219 - Phone
- (573) 614-5007
- NPI assigned
- Oct 1, 2007
- Organization subpart
- No
Authorized official
- Name
- Mr. James Shill
- Title
- Ceo
- Phone
- (573) 471-0330
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician |
207Q00000X | Yes | ||
| Pediatrics Physician |
208000000X |
Addresses
Primary practice location
115 E Business US Highway 60
Dexter, MO 63841-1219
Mailing address
PO Box 1068
Sikeston, MO 63801-1068
Phone (573) 471-0330
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 18011 | Other | MO | BLUE CROSS BLUE SHIELD |
Other providers in Dexter, MO
- Diamond Aire, LLC
- Diamond Hospice, LLC
- Logan England
- Enlighten Counseling LLC
- Kimberly Essner
- Kelly Fields-Wilburn
- Gina Nicole Finch
- Four Oaks Inc
- Frank Furnari
- Ashley Marie Gantner
All providers in Dexter, MO · Family Medicine Physician in Missouri
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 21, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.