Organization
HEALTHMONT OF MISSOURI LLC
Active
Other names
Callaway Community Hospital
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JOHN GRAVES (CEO)
(573) 642-3376
Entity
Organization
Contact information
Practice address
10 S HOSPITAL DR, FULTON, MO 65251-2510
(573) 642-3376
(573) 592-6679
Mailing address
10 S HOSPITAL DR, FULTON, MO 65251-2510
(573) 642-3376
(573) 592-6679
Taxonomy
Speciality
Code
Description
License number
State
275N00000X
Medicare Defined Swing Bed Hospital Unit
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1184667263
NPI
MO
Enumeration date
06/14/2006
Last updated
02/14/2012
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