Organization
PEMISCOT COUNTY MEMORIAL HOSPITAL
Active
Other names
Gideon Family Rural Health Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
JAMES MARSHALL (CFO)
(573) 359-3612
Entity
Organization
Contact information
Practice address
100 S MAIN STREET, GIDEON, MO 63848
(573) 448-3800
(573) 448-8909
Mailing address
PO BOX 489, HAYTI, MO 63851-0489
Taxonomy
Speciality
Code
Description
License number
State
261QR1300X
Rural Health Clinic/Center
Primary
—
—
Other
Enumeration date
05/11/2018
Last updated
07/19/2018
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