# CARROLL COUNTY MEMORIAL HOSPITAL

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Other names:** Reid Medical Clinic
- **Organization subpart:** No

## Provider details

- **NPI number:** 1972731529
- **Authorized official:** JEFFREY TINDLE (CEO)
- **Authorized official phone:** (660) 542-1695

## Contact information

- **Practice address:** 1401 N JEFFERSON ST, CARROLLTON, MO 64633-1945
- **Practice address phone:** (660) 542-3900
- **Practice address fax:** (660) 542-3902
- **Mailing address:** 1401 N JEFFERSON ST, CARROLLTON, MO 64633-1945
- **Mailing address phone:** (660) 542-3900
- **Mailing address fax:** (660) 542-3902

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | — | NULL | — |
| 207Q00000X | Family Medicine Physician | — | — | — |
| 261QR1300X | Rural Health Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 06/22/2009
- **Last updated:** 03/06/2013