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General NPI Number Information
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NPI Number | 1891734505
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Entity Type | Organization
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Legal Business Name | MACON COUNTY SAMARITAN HOSPITAL
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Dates
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Enumeration Date | 06/06/2006
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Last Update Date | 02/09/2015
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Provider Practice Location Address
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Address Line | 1201 N RUTHERFORD ST
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City | MACON
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State | MO
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Zip | 63552-2020
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Country | US
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Telephone | 660-385-8900
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Fax | 660-385-8708
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Provider Business Mailing Address
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Address Line | 1205 N MISSOURI ST
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City | MACON
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State | MO
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Zip | 63552-2095
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Country | US
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Telephone | 660-385-8700
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Fax | 660-385-8701
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Authorized Official
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Title or Position | CFO
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Name | SUSAN J SPENCER
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Credential | CPA
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Telephone | 660-385-8716
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QC0050X
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Taxonomy Name | Critical Access Hospital Clinic/Center
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License Number | N/A - HOSPITAL BASED
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License Number State |
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Taxonomy #2
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Taxonomy Code | 261QR1300X
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Taxonomy Name | Rural Health Clinic/Center
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License Number | N/A - HOSPITAL BASED
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License Number State |
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