Healthcare Provider Details

I. General information

NPI: 1386807675
Provider Name (Legal Business Name): PEMISCOT COUNTY MEMORIAL HOSPITAL
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/07/2008
Last Update Date: 08/12/2024
Certification Date: 08/12/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

910 E MOORE
HAYTI MO
63851
US

IV. Provider business mailing address

P.O. BOX 489
HAYTI MO
63851
US

V. Phone/Fax

Practice location:
  • Phone: 573-359-3230
  • Fax:
Mailing address:
  • Phone: 573-359-1372
  • Fax: 573-359-3601

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261Q00000X
TaxonomyClinic/Center
License Number
License Number State

VIII. Authorized Official

Name: LAUREN TURNAGE
Title or Position: REVENUE CYCLE DIRECTOR
Credential:
Phone: 573-359-3498