Healthcare Provider Details

I. General information

NPI: 1588407068
Provider Name (Legal Business Name): TEXAS COUNTY MEMORIAL HOSPITAL
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/13/2024
Last Update Date: 06/11/2026
Certification Date: 06/11/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1422 S SAM HOUSTON BLVD
HOUSTON MO
65483-2130
US

IV. Provider business mailing address

1422 S SAM HOUSTON BLVD
HOUSTON MO
65483-2130
US

V. Phone/Fax

Practice location:
  • Phone: 417-967-3311
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

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

VIII. Authorized Official

Name: MRS. LINDA J PAMPERIEN
Title or Position: CFO
Credential:
Phone: 417-967-1255