National Provider Identifier Database

TEXAS COUNTY MEMORIAL HOSPITAL
Rural Health


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
* Rural Health 261QR1300X

* Indicates primary specialty

NPI Profile & details for TEXAS COUNTY MEMORIAL HOSPITAL

NPI Number 1265754501
Legal business name
LBN
TEXAS COUNTY MEMORIAL HOSPITAL
Authorized official LINDA PAMPERIEN - (CHIEF FINANCIAL OFFICER)
Entity Organization
Organization subpart Yes
Enumeration date 02/26/2010
Last updated 10/31/2016 - About 10 years ago
Sole proprietor1 Not specified
Identifiers
  • MO Medicaid: 1265754501
  • 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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