Organization
CARROLL COUNTY MEMORIAL HOSPITAL
Active
Other names
Carroll County Memorial Hospital Home Health Care Agency
Organization subpart
No
Provider details
NPI number
Authorized official
AMY IRELAND (CHIEF REVENUE OFFICER)
(660) 542-1695
Entity
Organization
Contact information
Practice address
1502 N JEFFERSON ST, CARROLLTON, MO 64633-1948
(660) 542-3301
(660) 542-1691
Mailing address
1502 N JEFFERSON ST, CARROLLTON, MO 64633-1948
(660) 542-3301
(660) 542-1691
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
580157907
—
MO
01
—
90214014
BLUE CROSS BLUE SHIELD
MO
Enumeration date
06/17/2005
Last updated
10/29/2021
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