Organization
TEXAS COUNTY MEMORIAL HOSPITAL
Active
Parent organization
TEXAS COUNTY MEMORIAL HOSPITAL
Other names
Hospice Of Care
Organization subpart
Yes
Provider details
NPI number
Legal business name
TEXAS COUNTY MEMORIAL HOSPITAL
Authorized official
MRS. LINDA J PAMPERIEN (CFO)
(417) 967-3311
Entity
Organization
Contact information
Practice address
1422 S SAM HOUSTON BLVD STE 300, HOUSTON, MO 65483-2119
(417) 967-1279
(417) 967-1335
Mailing address
1333 S SAM HOUSTON BLVD, HOUSTON, MO 65483-2046
(417) 967-1279
(417) 967-1335
Taxonomy
Speciality
Code
Description
License number
State
251G00000X
Community Based Hospice Care Agency
Primary
048-10HO
MO
251G00000X
Community Based Hospice Care Agency
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
048-23HO
MISSOURI LICENSE
MO
01
—
182
BCBS NUMBER
MO
05
—
820156503
—
MO
Enumeration date
02/17/2006
Last updated
10/15/2020
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