MEDICARE: MARION RURAL HEALTH,INC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	261QR1300X	Rural Health Clinic/Center

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1033160684
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	MARION RURAL HEALTH,INC

Provider Business Mailing Address
First Line	:	15932 E HIGHWAY 40
Second Line	:
City	:	SILVER SPRINGS
State	:	FL
Zip	:	34488-5144
Country	:	US
Telephone Number	:	352-625-7777
Fax Number	:	352-625-1970

Provider Business Practice Location Address
First Line	:	15932 E HIGHWAY 40
Second Line	:
City	:	SILVER SPRINGS
State	:	FL
Zip	:	34488-5144
Country	:	US
Telephone Number	:	352-625-7777
Fax Number	:	352-625-1970

Authorized Official
Title or Position	:	OWNER/ADMINISTER
Name	:	MS. TERESA AMERSON SPOGEN
Credential	:
Telephone Number	:	352-625-7777

Provider Enumeration Date	:	05/16/2006
Last Update Date	:	10/15/2013

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Directions to “MARION RURAL HEALTH,INC ” Practice Location

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