Marble Hill Medical Clinic, LLC

Primary specialty

Rural Health Clinic/CenterTaxonomy code 261QR1300X

Legal business name

MARBLE HILL MEDICAL CLINIC, LLC

Practice address

307 Broadway St.
Marble Hill, MO 63764-8321

Phone

(573) 238-0038

Fax

(573) 238-0042

NPI assigned

Mar 12, 2014

Organization subpart

No

Name

Mrs. Suzanne R Matthews, FNPNPI 1194022921

Title

Owner

Phone

(573) 986-8705

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Mar 12, 2014.

{
    "created_epoch": "1394582400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1394582400000",
    "number": "1831515907",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "307 BROADWAY ST.",
            "city": "MARBLE HILL",
            "state": "MO",
            "postal_code": "637648321",
            "telephone_number": "573-238-0038",
            "fax_number": "573-238-0042"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "307 BROADWAY ST.",
            "city": "MARBLE HILL",
            "state": "MO",
            "postal_code": "637648321",
            "telephone_number": "573-238-0038",
            "fax_number": "573-238-0042"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARBLE HILL MEDICAL CLINIC, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-03-12",
        "last_updated": "2014-03-12",
        "status": "A",
        "authorized_official_last_name": "MATTHEWS",
        "authorized_official_first_name": "SUZANNE",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "573-986-8705",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "FNP"
    },
    "taxonomies": [
        {
            "code": "261QR1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rural Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Bryan Thomas Kiefer, RPH.
• Patricia Ann Kirn, RDH
• L Mark Milde DDS PC
• Nicholas James Legrand
• Marble Hill Medical Clinic, LLC
• Mary'S Ranch, Inc.
• Suzanne Raye Matthews, F.N.P.-B.C.
• Megan Alexis Mayfield, LMSW
• Alice McFarland
• Patricia Merkley, D.M.D. AND R.N.

• All providers in Marble Hill, MO
• Rural Health Clinic/Center in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 12, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.