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Contact Information

TEXAS COUNTY MEMORIAL HOSPITAL
1422 S SAM HOUSTON BLVD STE 100
HOUSTON, MO65483
 Phone: 417-967-4139
 Fax: 417-967-4130
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Community/Retail Pharmacy

3336C0003X 58 Medical Supply Company with Pharmacist
 

Pharmacy

333600000X 58 Medical Supply Company with Pharmacist
Indicates primary specialty

NPI Profile & details for TEXAS COUNTY MEMORIAL HOSPITAL

NPI # 1164587770
LBN Legal business name TEXAS COUNTY MEMORIAL HOSPITAL
Authorized official WESLEY MURRAY - (CEO)
Entity Organization
Organization subpart 1 No
Enumeration date 12/26/2006
Last updated 11/22/2019 - About 7 years ago
Identifiers
MO License # 2012026256
MO Medicaid 600059109
Other 2136307 PK
MO Other 2614700 NCPDP
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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