TEXAS COUNTY MEMORIAL HOSPITAL NPI 1710004486

NPI Information

NPI: 1710004486
Provider Name: TEXAS COUNTY MEMORIAL HOSPITAL

Doing Business As: TCMH INTERNAL MEDICINE

Classification: Clinic/Center - 261QR1300X
Entity Type: Organization

Specialization: Rural Health

Address:
1337 S SAM HOUSTON BLVD
SUITE 200
HOUSTON, MO
ZIP 65483
Phone: (417) 967-5435
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TEXAS COUNTY MEMORIAL HOSPITAL is a rural health clinic center in Houston, MO. TEXAS COUNTY MEMORIAL HOSPITAL NPI is 1710004486. The provider is registered as an organization entity type.
The provider Is Doing Business As Tcmh Internal Medicine.

The provider's business location address is:

1337 S SAM HOUSTON BLVD
SUITE 200
HOUSTON, MO
ZIP 65483-046
Phone: (417) 967-5435
Fax: (417) 967-5503

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 enumeration date for this NPI number is 3/26/2007 and was last updated on 10/11/2011.

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
1	261QR1300X	Clinic/Center	Rural Health			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	26D0889777	OTHER	MISSOURI	CLIA
2	268535	MEDICARE OSCAR/CERTIFICATION	MISSOURI
3	597780303	MEDICAID	MISSOURI
4	26-8535	MEDICARE ID-TYPE UNSPECIFIED	MISSOURI	RH MEDICARE #

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

NPI Synchronization or Removal

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