# KIRKSVILLE MISSOURI HOSPTIAL COMPANY LLC

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** KIRKSVILLE MISSOURI HOSPTIAL COMPANY LLC
- **Other names:** Northeast Regional Medical Center
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1396718649
- **Legal business name:** KIRKSVILLE MISSOURI HOSPTIAL COMPANY LLC
- **Authorized official:** MICHAEL PORTACCI (SENIOR VP, GROUP OPERATIONS)
- **Authorized official phone:** (888) 373-9600

## Contact information

- **Practice address:** 315 S OSTEOPATHY, KIRKSVILLE, MO 63501-6401
- **Practice address phone:** (660) 785-1000
- **Mailing address:** PO BOX 503525, SAINT LOUIS, MO 63150-3525

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 273Y00000X | Rehabilitation Hospital Unit | 462-4 | MO | Yes |

## Other

- **Enumeration date:** 02/08/2006
- **Last updated:** 11/14/2007