# PEMISCOT COUNTY MEMORIAL HOSPITAL

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Pemiscot Specialty Clinic
- **Organization subpart:** No

## Provider details

- **NPI number:** 1942881834
- **Authorized official:** LAUREN TURNAGE (REVENUE CYCLE DIRECTOR)
- **Authorized official phone:** (573) 359-3498

## Contact information

- **Practice address:** 946 E REED ST, HAYTI, MO 63851-1243
- **Practice address phone:** (573) 359-1372
- **Mailing address:** PO BOX 489, HAYTI, MO 63851-0489
- **Mailing address phone:** (573) 359-1372
- **Mailing address fax:** (573) 359-3601

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | — | NULL | — |
| 207Q00000X | Family Medicine Physician | — | — | — |
| 207R00000X | Internal Medicine Physician | — | NULL | — |
| 207R00000X | Internal Medicine Physician | — | — | — |
| 261Q00000X | Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 04/21/2021
- **Last updated:** 08/07/2024