# SULLIVAN COUNTY MEMORIAL HOSPITAL

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** SULLIVAN COUNTY MEMORIAL HOSPITAL
- **Other names:** Sullivan County Memorial Hospital Milan Family Practice
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1619065828
- **Legal business name:** SULLIVAN COUNTY MEMORIAL HOSPITAL
- **Authorized official:** AMY MICHAEL (CHIEF OPERATING OFFICER)
- **Authorized official phone:** (660) 265-4212

## Contact information

- **Practice address:** 210 N MARKET ST, MILAN, MO 63556-1316
- **Practice address phone:** (660) 265-4456
- **Mailing address:** 630 W 3RD ST, MILAN, MO 63556-1076
- **Mailing address phone:** (660) 265-4212
- **Mailing address fax:** (660) 265-4898

## Taxonomy

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

## Other

- **Enumeration date:** 10/11/2006
- **Last updated:** 11/30/2015