# PEMISCOT COUNTY MEMORIAL HOSPITAL

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Bootheel Primary Care Clinic - Kennett
- **Organization subpart:** No

## Provider details

- **NPI number:** 1992807390
- **Authorized official:** LAUREN TURNAGE (REVENUE CYCLE DIRECTOR)
- **Authorized official phone:** (573) 359-3498

## Contact information

- **Practice address:** 1231 1ST ST STE 5, KENNETT, MO 63857-2521
- **Practice address phone:** (573) 888-8828
- **Practice address fax:** (573) 888-8830
- **Mailing address:** PO BOX 442, HAYTI, MO 63851-0442
- **Mailing address phone:** (573) 359-3659
- **Mailing address fax:** (573) 359-3608

## Taxonomy

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

## Other

- **Enumeration date:** 09/05/2006
- **Last updated:** 08/07/2024
