Organization
LINCOLN COUNTY MEMORIAL HOSPITAL
Active
Other names
Lincoln County Medical Center Home Care
Organization subpart
No
Provider details
NPI number
Authorized official
MARK A. THORN (CHIEF FINANCIAL OFFICER)
(636) 528-3329
Entity
Organization
Contact information
Practice address
1005 EAST CHERRY STREET, TROY, MO 63379
(636) 528-3470
(636) 528-3456
Mailing address
1000 E CHERRY ST, TROY, MO 63379-1513
(636) 528-3470
(636) 528-3456
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
19121
MO
251E00000X
Home Health Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
580419802
—
MO
Enumeration date
08/04/2006
Last updated
12/11/2014
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