National Provider Identifier Database

SULLIVAN COUNTY MEMORIAL HOSPITAL
Rural Health


Contact Information

SULLIVAN COUNTY MEMORIAL HOSPITAL
630 W 3RD ST
MILAN, MO63556
Phone: 660-265-4212
Fax: 660-265-4898
Website:
Specialty Taxonomy Code
* Rural Health 261QR1300X

* Indicates primary specialty

NPI Profile & details for SULLIVAN COUNTY MEMORIAL HOSPITAL

NPI Number 1285775858
Legal business name
LBN
SULLIVAN COUNTY MEMORIAL HOSPITAL
Authorized official AMY MICHAEL - (COO)
Entity Organization
Organization subpart No
Enumeration date 02/08/2007
Last updated 07/09/2018 - About 8 years ago
Sole proprietor1 Not specified
Identifiers
  • MO License #: 130-49
  • MO Medicaid: 599995107

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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