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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
1251E00000XHome Health Agency101-21MO

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
326D0446916OTHERMOCLIA
4MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
530113OTHERMOBLUE CROSS

General Provider Information

NPI Number : 1114112588
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 : 417-967-1240
Fax Number : 417-967-2360
Provider Business Practice Location Address
First Line : 1422 S SAM HOUSTON BLVD STE 200
Second Line :
City : HOUSTON
State : MO
Zip : 65483-2130
Country : US
Telephone Number : 417-967-1240
Fax Number : 417-967-2360
Authorized Official
Title or Position : CFO
Name : MRS. LINDA J PAMPERIEN
Credential :
Telephone Number : 417-967-1255
Provider Enumeration Date : 09/10/2007
Last Update Date : 01/15/2020

Similar Medicare Providers

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Practice Location Address:
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1710926928 — TEXAS COUNTY MEMORIAL HOSPITAL
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Practice Fax:
1174973879 — MICHEL ANDERSON FNP
Practice Location Address:
1422 S SAM HOUSTON BLVD
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Practice Fax:
1407352594 — BRIGITTE SHAFFER NP-C
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1982603874 — SELECT SPECIALTY HOSPITAL - HOUSTON L.P
Practice Location Address:
2130 W HOLCOMBE BLVD
HOUSTON, TX
77030-3306
Practice Phone: 713-218-2300
Practice Fax: 713-218-1988

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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