Organization
PIKE COUNTY MEMORIAL HOSPITAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. LORRAINE L HARNESS (ADMINISTRATOR)
(573) 754-5531
Entity
Organization
Contact information
Practice address
2305 W. GEORGIA ST, LOUISIANA, MO 63353-2559
(573) 754-5531
Mailing address
2305 W. GEORGIA ST, LOUISIANA, MO 63353-2559
(573) 754-5531
Taxonomy
Speciality
Code
Description
License number
State
282NC0060X
Critical Access Hospital
Primary
85-48
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
010724805
—
MO
Enumeration date
08/02/2005
Last updated
05/21/2008
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