Organization
MCCUNE-BROOKS HOSPITAL
Active
Other names
McCune-Brooks Hospital
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ROBERT Y COPELAND JR. (CEO)
(417) 359-2655
Entity
Organization
Contact information
Practice address
3125 DR RUSSELL SMITH WAY, CARTHAGE, MO 64836-7402
(417) 358-8121
(417) 237-7240
Mailing address
3125 DR RUSSELL SMITH WAY, CARTHAGE, MO 64836-7402
(417) 358-8121
(417) 237-7240
Taxonomy
Speciality
Code
Description
License number
State
261QE0002X
Emergency Care Clinic/Center
Primary
23-48
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
115971
BLUE CROSS BLUE SHIELD
MO
01
—
50053
MERCY HEALTH PLANS
MO
05
—
540670908
—
MO
Enumeration date
11/15/2006
Last updated
06/06/2008
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