Healthcare Provider Details

I. General information

NPI: 1033160684
Provider Name (Legal Business Name): MARION RURAL HEALTH,INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/16/2006
Last Update Date: 10/15/2013
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

15932 E HIGHWAY 40
SILVER SPRINGS FL
34488-5144
US

IV. Provider business mailing address

15932 E HIGHWAY 40
SILVER SPRINGS FL
34488-5144
US

V. Phone/Fax

Practice location:
  • Phone: 352-625-7777
  • Fax: 352-625-1970
Mailing address:
  • Phone: 352-625-7777
  • Fax: 352-625-1970

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QR1300X
TaxonomyRural Health Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: MS. TERESA AMERSON SPOGEN
Title or Position: OWNER/ADMINISTER
Credential:
Phone: 352-625-7777