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General NPI Number Information
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NPI Number | 1104801547
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Entity Type | Organization
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Legal Business Name | BARTON COUNTY MEMORIAL HOSPITAL
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Dates
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Enumeration Date | 12/08/2005
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Last Update Date | 04/24/2013
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Provider Practice Location Address
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Address Line | 29 NW 1ST LN
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City | LAMAR
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State | MO
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Zip | 64759-8105
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Country | US
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Telephone | 417-681-5100
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Fax | 417-681-5501
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Provider Business Mailing Address
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Address Line | 29 NW 1ST LN
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City | LAMAR
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State | MO
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Zip | 64759-8105
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Country | US
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Telephone | 417-681-5100
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Fax | 417-681-5501
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Authorized Official
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Title or Position | INTERIM CEO
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Name | MS. WENDY DUVALL
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Credential |
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Telephone | 417-681-5105
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 275N00000X
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Taxonomy Name | Medicare Defined Swing Bed Hospital Unit
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License Number | 115-49
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License Number State | MO
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Taxonomy #2
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Taxonomy Code | 282NC0060X
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Taxonomy Name | Critical Access Hospital
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License Number | 115-49
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License Number State | MO
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