Organization
TEXAS COUNTY MEMORIAL HOSPITAL
Active
Parent organization
TEXAS COUNTY MEMORIAL HOSPITAL
Other names
Home Health of the Ozarks
Organization subpart
Yes
Provider details
NPI number
Legal business name
TEXAS COUNTY MEMORIAL HOSPITAL
Authorized official
MRS. LINDA J PAMPERIEN (CFO)
(417) 967-1255
Entity
Organization
Contact information
Practice address
1422 S SAM HOUSTON BLVD STE 200, HOUSTON, MO 65483-2130
(417) 967-1240
(417) 967-2360
Mailing address
1333 S SAM HOUSTON BLVD, HOUSTON, MO 65483-2046
(417) 967-1240
(417) 967-2360
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
101-21
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
264019704
—
MO
01
—
26D0446916
CLIA
MO
05
—
284019700
—
MO
01
—
30113
BLUE CROSS
MO
05
—
580156503
—
MO
Enumeration date
09/10/2007
Last updated
01/15/2020
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