PIKE COUNTY MEMORIAL HOSPITAL NPI 1124030424

NPI Information

  • NPI: 1124030424
  • Provider Name: PIKE COUNTY MEMORIAL HOSPITAL
  • Classification: Clinic/Center - 261QR1300X
  • Specialization: Rural Health
  • Entity Type: Organization
  • Doing Business As: PCMH CLINIC
  • CLIA Number: 26D0855525
  • Address: 1015 W ADAMS ST
    BOWLING GREEN, MO
    ZIP 63334
  • Phone: (573) 324-5300

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NPI Details

PIKE COUNTY MEMORIAL HOSPITAL is a rural health clinic center in Bowling Green, MO. PIKE COUNTY MEMORIAL HOSPITAL NPI is 1124030424. The provider is registered as an organization entity type.
The provider Is Doing Business As Pcmh Clinic.

The provider's business location address is:

1015 W ADAMS ST
BOWLING GREEN, MO
ZIP 63334-974
Phone: (573) 324-5300
Fax: (573) 324-6059

The provider's authorized official is Justin Selle .
The authorized official title is Ceo and has the following contact phone number (573) 754-5531.

The CLIA number assigned to this NPI record is 26D0855525 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 8/13/2006 and was last updated on 4/5/2016.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1261QR1300XClinic/CenterRural HealthYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1263468MEDICARE OSCAR/CERTIFICATIONMISSOURI
2598209203MEDICAIDMISSOURI
3502663305OTHERMISSOURIMEDICARE/MEDICAID PROF CROSSOVER 1500
4CK7206OTHERMISSOURIRAILROAD MEDICARE PIN
5000012300MEDICARE PINMISSOURI

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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