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NPI Code Detail

MEDICARE: MACON COUNTY SAMARITAN HOSPITAL

MEDICARE: MACON COUNTY SAMARITAN 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
1261QC0050XCritical Access Hospital Clinic/CenterN/A - HOSPITAL BASED
2261QR1300XRural Health Clinic/CenterN/A - HOSPITAL BASED

Medicare Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
3DA1450OTHERMORAILROAD MEDICARE
4000013920OTHERMOMEDICARE MO

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

General Provider Information

NPI Number : 1891734505
Entity Type Code : Organization
Provider Name (Legal Business Name) : MACON COUNTY SAMARITAN HOSPITAL
Provider Business Mailing Address
First Line : 1205 N MISSOURI ST
Second Line :
City : MACON
State : MO
Zip : 63552-2095
Country : US
Telephone Number : 660-385-8700
Fax Number : 660-385-8701
Provider Business Practice Location Address
First Line : 1201 N RUTHERFORD ST
Second Line :
City : MACON
State : MO
Zip : 63552-2020
Country : US
Telephone Number : 660-385-8900
Fax Number : 660-385-8708
Authorized Official
Title or Position : CFO
Name : SUSAN J SPENCER
Credential : CPA
Telephone Number : 660-385-8716
Provider Enumeration Date : 06/06/2006
Last Update Date : 02/09/2015

Similar Medicare Providers

1750387163 — NORA MARIE HOCKMAN-MCDOWELL FNP
Practice Location Address:
1201 N RUTHERFORD ST
MACON, MO
63552-2020
Practice Phone: 660-385-8900
Practice Fax: 660-385-8708
1164414660 — ROGELIO L BAUTISTA M.D.
Practice Location Address:
1201 N RUTHERFORD ST
MACON, MO
63552-2020
Practice Phone: 660-385-8900
Practice Fax: 660-385-8708
1255370482 — JAMES W MCDOWELL MD
Practice Location Address:
1201 N RUTHERFORD ST
MACON, MO
63552-2020
Practice Phone: 660-385-8900
Practice Fax: 660-385-8708
1053350207 — JAMIE MARIE KAUFFMAN DO
Practice Location Address:
1201 N RUTHERFORD ST
MACON, MO
63552-2020
Practice Phone: 660-385-8900
Practice Fax: 660-385-8708
1952340663 — JULIE L BURDIN MD
Practice Location Address:
1201 N RUTHERFORD ST
MACON, MO
63552-2020
Practice Phone: 660-385-8900
Practice Fax: 660-385-8708
1184744765 — DR. BRADLEY ROBERT FREIDEL D.O.
Practice Location Address:
1201 N RUTHERFORD ST
MACON, MO
63552-2020
Practice Phone: 660-385-8900
Practice Fax: 660-385-8708

Directions to “MACON COUNTY SAMARITAN 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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