# CARROLL COUNTY MEMORIAL HOSPITAL

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Carroll County Memorial Hospital Home Health Care Agency
- **Organization subpart:** No

## Provider details

- **NPI number:** 1205831013
- **Authorized official:** AMY IRELAND (CHIEF REVENUE OFFICER)
- **Authorized official phone:** (660) 542-1695

## Contact information

- **Practice address:** 1502 N JEFFERSON ST, CARROLLTON, MO 64633-1948
- **Practice address phone:** (660) 542-3301
- **Practice address fax:** (660) 542-1691
- **Mailing address:** 1502 N JEFFERSON ST, CARROLLTON, MO 64633-1948
- **Mailing address phone:** (660) 542-3301
- **Mailing address fax:** (660) 542-1691

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251E00000X | Home Health Agency | — | NULL | Yes |

## Other

- **Enumeration date:** 06/17/2005
- **Last updated:** 10/29/2021