# SALEM MEMORIAL HOSPITAL

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** SALEM MEMORIAL HOSPITAL
- **Other names:** SMDH Family Medicine
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1821243981
- **Legal business name:** SALEM MEMORIAL HOSPITAL
- **Authorized official:** BROOKE BOLLMAN (CEO)
- **Authorized official phone:** (573) 739-1927

## Contact information

- **Practice address:** 35629 HWY 72, BLD. 3, SALEM, MO 65560-0719
- **Practice address phone:** (573) 729-8000
- **Practice address fax:** (573) 729-8001
- **Mailing address:** 35629 HIGHWAY 72 BLDG 3, SALEM, MO 65560-7217
- **Mailing address phone:** (573) 729-8000
- **Mailing address fax:** (573) 729-8001

## Taxonomy

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

## Other

- **Enumeration date:** 11/17/2008
- **Last updated:** 04/07/2026
