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NPI Code Detail

MEDICARE: TEXAS COUNTY MEMORIAL HOSPITAL

MEDICARE: TEXAS COUNTY MEMORIAL HOSPITAL
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1251G00000XCommunity Based Hospice Care Agency
2251G00000XCommunity Based Hospice Care Agency048-10HOMO

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1182OTHERMOBCBS NUMBER
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3048-23HOOTHERMOMISSOURI LICENSE

General Provider Information

NPI Number : 1093780678
Entity Type Code : Organization
Provider Name (Legal Business Name) : TEXAS COUNTY MEMORIAL HOSPITAL
Provider Business Mailing Address
First Line : 1333 S SAM HOUSTON BLVD
Second Line :
City : HOUSTON
State : MO
Zip : 65483-2046
Country : US
Telephone Number : 417-967-1279
Fax Number : 417-967-1335
Provider Business Practice Location Address
First Line : 1422 S SAM HOUSTON BLVD STE 300
Second Line :
City : HOUSTON
State : MO
Zip : 65483-2119
Country : US
Telephone Number : 417-967-1279
Fax Number : 417-967-1335
Authorized Official
Title or Position : CFO
Name : MRS. LINDA J PAMPERIEN
Credential :
Telephone Number : 417-967-3311
Provider Enumeration Date : 02/17/2006
Last Update Date : 10/15/2020

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Directions to “TEXAS COUNTY MEMORIAL HOSPITAL ” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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