TEXAS COUNTY MEMORIAL HOSPITAL NPI 1396785135

NPI Information

NPI: 1396785135
Provider Name: TEXAS COUNTY MEMORIAL HOSPITAL

Doing Business As: TCMH - CABOOL MEDICAL CLINIC

Classification: Clinic/Center - 261QP2300X
Entity Type: Organization

Specialization: Primary Care

Address:
500 MAIN STREET
CABOOL, MO
ZIP 65689
Phone: (417) 962-3015
Get Directions

TEXAS COUNTY MEMORIAL HOSPITAL is a primary care clinic center in Cabool, MO. TEXAS COUNTY MEMORIAL HOSPITAL NPI is 1396785135. The provider is registered as an organization entity type.
The provider Is Doing Business As Tcmh - Cabool Medical Clinic.

The provider's business location address is:

500 MAIN STREET
CABOOL, MO
ZIP 65689
Phone: (417) 962-3015
Fax: (417) 962-5938

The provider's authorized official is Linda J. Pamperien .
The authorized official title is Chief Financial Officer and has the following contact phone number (417) 967-3311.

The CLIA number assigned to this NPI record is 26D0859759 - physician office with a certificate type of Certificate for Provider-Performed Microscopy Procedures (PPMP).

The enumeration date for this NPI number is 6/8/2006 and was last updated on 8/10/2010.

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	Primary
1	261Q00000X	Clinic/Center		No
2	261QR1300X	Clinic/Center	Rural Health	No
3	261QP2300X	Clinic/Center	Primary Care	Yes

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
1	26-8603	OTHER	MISSOURI	RH MEDICARE
2	000014895	MEDICARE ID-TYPE UNSPECIFIED	MISSOURI
3	26D0859759	OTHER	MISSOURI	CLIA
4	507943900	MEDICAID	MISSOURI
5	597943901	OTHER	MISSOURI	RH MEDICAID

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: 5/5/2024

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