Organization
SALEM MEMORIAL HOSPITAL
Active
Organization
SALEM MEMORIAL HOSPITAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. BROOKE BOLLMAN (CEO)
(573) 729-6626
Entity
Organization
Contact information
Practice address
35629 HIGHWAY 72, SALEM, MO 65560-7217
(573) 729-6626
(573) 729-6502
Mailing address
PO BOX 774, 35629 HWY 72, SALEM, MO 65560-0774
(573) 729-6626
(573) 729-6502
Taxonomy
Speciality
Code
Description
License number
State
275N00000X
Medicare Defined Swing Bed Hospital Unit
Primary
—
—
282NC0060X
Critical Access Hospital
252-34
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
30156
BLUE CROSS BLUE SHIELD
MO
Enumeration date
01/26/2006
Last updated
11/06/2024
Update your record
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