Ferguson Medical Group Rural Health Center Inc

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

FERGUSON MEDICAL GROUP RURAL HEALTH CENTER INC

Practice address

320 N Lincoln St
East Prairie, MO 63845-1160

Phone

(573) 649-3026

Fax

(573) 649-5600

NPI assigned

Jul 23, 2006

Organization subpart

Yes

Parent organization

CICADA INCAs reported in NPPES

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mr. James Shill

Title

Ceo

Phone

(573) 471-0330

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Ferguson Medical Group Former legal business name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

• Ferguson Medical Group

  • Family Medicine Physician
  • Sikeston, MO
  • NPI 1205956661

  Member Of

  NPD member

Change-of-ownership history 1

Change of ownership 1

Medicare changes of ownership in which this facility was the buyer or the seller.

• Saint Francis Medical Center

  • Rural Health Clinic/Center
  • East Prairie, MO
  • NPI 1952878704

  Sold to, 2019-01-01

  CMS change of ownership

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1153612800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1497484800000",
    "number": "1982625802",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1068",
            "city": "SIKESTON",
            "state": "MO",
            "postal_code": "638015044",
            "telephone_number": "573-471-0330",
            "fax_number": "573-481-5019"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "320 N LINCOLN ST",
            "city": "EAST PRAIRIE",
            "state": "MO",
            "postal_code": "638451160",
            "telephone_number": "573-649-3026",
            "fax_number": "573-649-5600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FERGUSON MEDICAL GROUP RURAL HEALTH CENTER INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "CICADA INC",
        "enumeration_date": "2006-07-23",
        "last_updated": "2017-06-15",
        "status": "A",
        "authorized_official_last_name": "SHILL",
        "authorized_official_first_name": "JAMES",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "573-471-0330",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "MO",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "595954116",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Ferguson Medical Group",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

• East Prairie R-II School District
• Effie Shurtz Group Home
• Effie Shurtz Home
• Effie Shurtz Home
• Ferguson Medical Group
• Bethany Ferrell
• Claire E Grisham, FNP
• Rebecca Camille Hatton, COTA/L
• Jimmy D. Heath Jr., M.D.
• Patricia Hogan, RPH

• Family Medicine Physician in East Prairie, MO
• Providers in East Prairie, MO by specialty
• Family Medicine Physician in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 15, 2017; 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.