Organization
TEXAS COUNTY MEMORIAL HOSPITAL
Active
Parent organization
TEXAS COUNTY MEMORIAL HOSPITAL
Other names
TCMH Outpatient Clinic
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
1333 S SAM HOUSTON BLVD STE A, HOUSTON, MO 65483
(417) 967-1319
(417) 967-3764
Mailing address
1333 S SAM HOUSTON BLVD STE A, HOUSTON, MO 65483-2046
(417) 967-1319
(417) 967-3764
Taxonomy
Speciality
Code
Description
License number
State
261QM1300X
Multi-Specialty Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
500050927
—
MO
01
—
MA6957
MEDICARE PART B
MO
Enumeration date
02/02/2018
Last updated
07/18/2018
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