National Provider Identifier Database

TEXAS COUNTY MEMORIAL HOSPITAL
Primary Care


Contact Information

TEXAS COUNTY MEMORIAL HOSPITAL
1905 WEST 19TH STREET
MOUNTAIN GROVE, MO65711
Phone: 417-926-1770
Fax: 417-926-1785
Website:
Specialty Taxonomy Code
* Primary Care 261QP2300X

* Indicates primary specialty

NPI Profile & details for TEXAS COUNTY MEMORIAL HOSPITAL

NPI Number 1285957001
Legal business name
LBN
TEXAS COUNTY MEMORIAL HOSPITAL
Authorized official LINDA PAMPERIEN - (CHIEF FINANCIAL OFFICER)
Entity Organization
Organization subpart Yes
Enumeration date 03/08/2010
Last updated 09/16/2010 - About 16 years ago
Sole proprietor1 Not specified
Identifiers
  • MO Medicaid: 1285957001
  • MO Other: 26D2006074 CLIA

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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