Healthcare Provider Details

I. General information

NPI: 1992807390
Provider Name (Legal Business Name): PEMISCOT COUNTY MEMORIAL HOSPITAL
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/05/2006
Last Update Date: 08/07/2024
Certification Date: 08/07/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1231 1ST ST STE 5
KENNETT MO
63857-2521
US

IV. Provider business mailing address

PO BOX 442
HAYTI MO
63851-0442
US

V. Phone/Fax

Practice location:
  • Phone: 573-888-8828
  • Fax: 573-888-8830
Mailing address:
  • Phone: 573-359-3659
  • Fax: 573-359-3608

VI. Provider taxonomy

Scope of Practice (Provider specialty)

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

VIII. Authorized Official

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