# KIRKSVILLE MISSOURI HOSPITAL COMPANY LLC

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

## Provider details

- **NPI number:** 1508135005
- **Legal business name:** KIRKSVILLE MISSOURI HOSPITAL COMPANY LLC
- **Authorized official:** PAULA M LALOR (DIRECTOR/DELEGATED OFFICIAL)
- **Authorized official phone:** (629) 215-3953

## Contact information

- **Practice address:** 1607 S BALTIMORE ST, KIRKSVILLE, MO 63501-4536
- **Practice address phone:** (660) 627-3363
- **Mailing address:** 315 S OSTEOPATHY AVE, KIRKSVILLE, MO 63501-6401
- **Mailing address phone:** (660) 785-1000

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QR1300X | Rural Health Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 12/29/2011
- **Last updated:** 04/08/2021