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Organization
COOPER COUNTY MEMORIAL HOSPITAL
Active
Organization
COOPER COUNTY MEMORIAL HOSPITAL
Active
Other names
CCMH Family Health Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
DANIELLE GEARHART (ADMIN CEO)
(660) 882-7461
Entity
Organization
Contact information
Practice address
600 W MORRISON ST, SUITE 5, FAYETTE, MO 65248-1075
(660) 248-2900
(660) 248-1544
Mailing address
17651 B HWY, BOONVILLE, MO 65233-2839
(660) 882-7461
(660) 882-4136
Taxonomy
Speciality
Code
Description
License number
State
261QR1300X
Rural Health Clinic/Center
Primary
—
NULL
Other
Enumeration date
03/14/2007
Last updated
07/25/2014
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