# ST JOHN'S HOSPITAL LEBANON

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1104032721
- **Authorized official:** TERRI FOSTER PT (DIRECTOR OF REHAB SERVICES)
- **Authorized official phone:** (417) 533-6315

## Contact information

- **Practice address:** 331 HOSPITAL DR, LEBANON, MO 65536-9217
- **Practice address phone:** (417) 533-6315
- **Mailing address:** 2444 COPPERWOOD DR, LEBANON, MO 65536-5964
- **Mailing address phone:** (471) 594-0217

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 282NR1301X | Rural Acute Care Hospital | 2001030555 | MO | Yes |

## Other

- **Enumeration date:** 05/14/2007
- **Last updated:** 08/22/2020