# COOPER COUNTY MEMORIAL HOSPITAL

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- **Entity:** Organization
- **Status:** Active
- **Other names:** CCMH Family Health Glasgow
- **Organization subpart:** No

## Provider details

- **NPI number:** 1811332935
- **Authorized official:** DANIELLE GEARHART (CEO)
- **Authorized official phone:** (660) 882-7461

## Contact information

- **Practice address:** 108 MARKET ST, GLASGOW, MO 65254-1053
- **Practice address phone:** (660) 338-2233
- **Practice address fax:** (660) 338-2817
- **Mailing address:** 17651 B HWY, P O BOX 88, BOONVILLE, MO 65233-2839
- **Mailing address phone:** (660) 882-7461
- **Mailing address fax:** (660) 882-6093

## Taxonomy

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

## Other

- **Enumeration date:** 05/02/2013
- **Last updated:** 07/22/2014