# PEMISCOT MEMORIAL HEALTH SYSTEM

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

## Provider details

- **NPI number:** 1114379153
- **Authorized official:** LINDA TAI PA-C (PHYSICIAN ASSISTANT)
- **Authorized official phone:** (573) 359-1372

## Contact information

- **Practice address:** 946 E REED ST, HAYTI, MO 63851-1243
- **Practice address phone:** (573) 359-1372
- **Mailing address:** 946 E REED ST, HAYTI, MO 63851-1243
- **Mailing address phone:** (573) 359-1372

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 282NR1301X | Rural Acute Care Hospital | 2016016697 | MO | Yes |

## Other

- **Enumeration date:** 07/01/2016
- **Last updated:** 07/01/2016