Organization
SALEM MEMORIAL HOSPITAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DENNIS P PRYOR (ADMINISTRATOR)
(573) 729-6626
Entity
Organization
Contact information
Practice address
35629 HIGHWAY 72, SALEM, MO 65560-7217
(573) 729-6626
Mailing address
PO BOX 774, 35629 HIGHWAY 72, SALEM, MO 65560-0774
(573) 729-6626
(573) 729-6502
Taxonomy
Speciality
Code
Description
License number
State
261QE0700X
End-Stage Renal Disease (ESRD) Treatment Clinic/Center
Primary
25234
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
010570307
—
MO
Enumeration date
01/26/2006
Last updated
02/22/2010
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