Healthcare Provider Details

I. General information

NPI: 1982779914
Provider Name (Legal Business Name): HERMANN AREA HOSPITAL DISTRICT
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/22/2006
Last Update Date: 09/02/2025
Certification Date: 05/01/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

134 W 6TH ST
HERMANN MO
65041-1018
US

IV. Provider business mailing address

PO BOX 19
HERMANN MO
65041-0019
US

V. Phone/Fax

Practice location:
  • Phone: 573-486-5711
  • Fax: 573-486-3827
Mailing address:
  • Phone: 573-486-1193
  • Fax: 573-486-0910

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QR1300X
TaxonomyRural Health Clinic/Center
License Number
License Number StateMO

VIII. Authorized Official

Name: WILLIAM HELLEBUSCH
Title or Position: ADMINISTRATOR
Credential:
Phone: 573-486-2191