Organization
LINCOLN COUNTY MEMORIAL HOSPITAL
Active
Other names
Troy Family Practice
Organization subpart
No
Provider details
NPI number
Authorized official
MR. PATRICK G BIRA (CEO)
(636) 528-8551
Entity
Organization
Contact information
Practice address
1003 E CHERRY ST, TROY, MO 63379-1503
(636) 528-6755
(636) 528-6965
Mailing address
PO BOX 249, TROY, MO 63379-0249
(636) 528-6755
(636) 528-6965
Taxonomy
Speciality
Code
Description
License number
State
261QR1300X
Rural Health Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
598223808
—
MO
Enumeration date
07/26/2006
Last updated
07/11/2011
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