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Organization
KIRKSVILLE MISSOURI HOSPITAL COMPANY LLC
Active
Organization
KIRKSVILLE MISSOURI HOSPITAL COMPANY LLC
Active
Parent organization
KIRKSVILLE MISSOURI HOSPITAL COMPANY LLC
Other names
Northeast Regional Medical Group
Organization subpart
Yes
Provider details
NPI number
Legal business name
KIRKSVILLE MISSOURI HOSPITAL COMPANY LLC
Authorized official
BRIAN PEOPLES (VICE-PRESIDENT)
(615) 465-7585
Entity
Organization
Contact information
Practice address
1607 S BALTIMORE ST, KIRKSVILLE, MO 63501-4536
(660) 627-3363
(660) 627-3367
Mailing address
PO BOX 689022, FRANKLIN, TN 37068-9022
(615) 465-7000
(615) 465-3007
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
MO
207R00000X
Internal Medicine Physician
—
MO
207RC0000X
Cardiovascular Disease Physician
—
MO
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
—
NULL
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
—
—
Other
Enumeration date
10/12/2012
Last updated
12/04/2012
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