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NPI Code Detail

MEDICARE: TEXAS COUNTY MEMORIAL HOSPITAL

MEDICARE: TEXAS COUNTY MEMORIAL HOSPITAL
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207P00000XEmergency Medicine Physician
2207Q00000XFamily Medicine Physician
3207RP1001XPulmonary Disease Physician
4208M00000XHospitalist Physician
53416L0300XLand Ambulance
6367500000XCertified Registered Nurse Anesthetist
7282N00000XGeneral Acute Care Hospital17248MO

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
126D0446923OTHERCLIA
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
4MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
5MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
6MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1790740363
Entity Type Code : Organization
Provider Name (Legal Business Name) : TEXAS COUNTY MEMORIAL HOSPITAL
Provider Business Mailing Address
First Line : 1333 S SAM HOUSTON BLVD
Second Line :
City : HOUSTON
State : MO
Zip : 65483
Country : US
Telephone Number : 417-967-3311
Fax Number : 417-967-1234
Provider Business Practice Location Address
First Line : 1333 S SAM HOUSTON BLVD
Second Line :
City : HOUSTON
State : MO
Zip : 65483-2046
Country : US
Telephone Number : 417-967-3311
Fax Number : 417-967-1234
Authorized Official
Title or Position : CHIEF FINANCIAL OFFICER
Name : MRS. LINDA J PAMPERIEN
Credential :
Telephone Number : 417-967-3311
Provider Enumeration Date : 04/18/2006
Last Update Date : 12/16/2022

Similar Medicare Providers

1376591776 — MR. JAMES S SPANTGOS CRNA
Practice Location Address:
1333 S SAM HOUSTON BLVD
HOUSTON, MO
65483-2046
Practice Phone: 417-967-3311
Practice Fax: 417-967-3764
1437104304 — MR. MARVIN T. COLYER C.R.N.A.
Practice Location Address:
1333 S SAM HOUSTON BLVD
HOUSTON, MO
65483-2046
Practice Phone: 417-967-1265
Practice Fax: 417-967-1328
1982659785 — DR. LYNN D. HAUENSTEIN D.O.
Practice Location Address:
1333 S SAM HOUSTON BLVD
HOUSTON, MO
65483-2046
Practice Phone: 417-967-3311
Practice Fax: 417-967-3764
1437104999 — MR. JAMAL A ZEREIK MD
Practice Location Address:
1333 S SAM HOUSTON BLVD
HOUSTON, MO
65483-2046
Practice Phone: 417-967-3311
Practice Fax: 417-967-1259
1548217870 — DR. WILLIAM C. WRIGHT M.D.
Practice Location Address:
1333 S SAM HOUSTON BLVD
HOUSTON, MO
65483-2046
Practice Phone: 417-967-1252
Practice Fax: 417-967-0417
1992743777 — DR. LOUISE WILKINSON DO
Practice Location Address:
1333 S SAM HOUSTON BLVD
HOUSTON, MO
65483-2046
Practice Phone: 417-967-3311
Practice Fax: 417-967-1259

Directions to “TEXAS COUNTY MEMORIAL HOSPITAL ” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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