# PIKE COUNTY MEMORIAL HOSPITAL

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- **Entity:** Organization
- **Status:** Active
- **Other names:** PCMH Clinic
- **Organization subpart:** No

## Provider details

- **NPI number:** 1033578588
- **Authorized official:** MRS. MCKAYLA JO WARTICK (DIRECTOR RCM)
- **Authorized official phone:** (573) 754-5531

## Contact information

- **Practice address:** 425 N GALLOWAY RD, VANDALIA, MO 63382-1259
- **Practice address phone:** (573) 754-5531
- **Mailing address:** 2305 GEORGIA ST, LOUISIANA, MO 63353-2559

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | — | NULL | — |
| 207Q00000X | Family Medicine Physician | — | — | — |
| 261QR1300X | Rural Health Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 02/12/2016
- **Last updated:** 03/11/2025