Healthcare Provider Details

I. General information

NPI: 1184881096
Provider Name (Legal Business Name): BARTON COUNTY MEMORIAL HOSPITAL
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/19/2008
Last Update Date: 05/19/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

29 NW 1ST LN
LAMAR MO
64759-8105
US

IV. Provider business mailing address

29 NW 1ST LN
LAMAR MO
64759-8105
US

V. Phone/Fax

Practice location:
  • Phone: 417-681-5100
  • Fax: 417-681-5510
Mailing address:
  • Phone: 417-681-5100
  • Fax: 417-681-5510

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code282NC0060X
TaxonomyCritical Access Hospital
License Number115-50
License Number StateMO

VIII. Authorized Official

Name: MR. RUDY C. SNEDIGAR
Title or Position: CEO
Credential:
Phone: 417-681-5100