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Contact Information

SULLIVAN COUNTY MEMORIAL HOSPITAL
630 W 3RD ST
MILAN, MO63556
 Phone: 660-265-4212
 Fax: 660-265-4898
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Rural Health

261QR1300X B4[14] Rural Health Clinic
Indicates primary specialty

NPI Profile & details for SULLIVAN COUNTY MEMORIAL HOSPITAL

NPI Number 1285775858
LBN Legal business name SULLIVAN COUNTY MEMORIAL HOSPITAL
Authorized official AMY MICHAEL - (COO)
Entity Organization
Organization subpart 1 No
Enumeration date 02/08/2007
Last updated 07/09/2018 - About 8 years ago
Identifiers
MO License # 130-49
MO Medicaid 599995107
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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