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Organization
PIKE COUNTY MEMORIAL HOSPITAL
Active
Organization
PIKE COUNTY MEMORIAL HOSPITAL
Active
Other names
Medical Walk-In Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
JUSTIN SELLE (CEO)
(573) 754-5531
Entity
Organization
Contact information
Practice address
1420 S BUSINESS 61, UNIT FDE, BOWLING GREEN, MO 63334-5230
(573) 754-5531
Mailing address
2305 GEORGIA ST, LOUISIANA, MO 63353-2559
(573) 754-5531
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
NULL
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
03/21/2017
Last updated
04/04/2017
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