# BARTON COUNTY MEMORIAL HOSPITAL

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** BARTON COUNTY MEMORIAL HOSPITAL
- **Other names:** Medical One Satellite Clinic
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1104129733
- **Legal business name:** BARTON COUNTY MEMORIAL HOSPITAL
- **Authorized official:** MS. TJ ALLEN (CLINIC BUSINESS COORDINATOR)
- **Authorized official phone:** (417) 681-0214

## Contact information

- **Practice address:** 102 W 2ND ST, LAMAR, MO 64759-1029
- **Practice address phone:** (417) 681-0214
- **Practice address fax:** (417) 681-0136
- **Mailing address:** 102 W 2ND ST, LAMAR, MO 64759-1029
- **Mailing address phone:** (417) 681-0214
- **Mailing address fax:** (417) 681-0136

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | R8N54 | MO | Yes |
| 208600000X | Surgery Physician | — | NULL | — |
| 208600000X | Surgery Physician | — | — | — |

## Other

- **Enumeration date:** 12/21/2010
- **Last updated:** 03/22/2011

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 000050010 | MEDICARE GROUP NUMBER | MO |
| 01 | — | 1083614291 | DAVID E BROWN DO | — |
| 05 | — | 1104129733 | — | MO |
| 01 | — | 1235169723 | JOSEPH F WILSON, JR, DO | — |