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Organization

TEXAS COUNTY MEMORIAL HOSPITAL

Active
Parent organization
TEXAS COUNTY MEMORIAL HOSPITAL
Other names
TCMH - Mountain Grove Clinic
Organization subpart
Yes

Provider details

NPI number
Legal business name
TEXAS COUNTY MEMORIAL HOSPITAL
Authorized official
MRS. LINDA J. PAMPERIEN (CHIEF FINANCIAL OFFICER)
(417) 967-3311
Entity
Organization

Contact information

Practice address
1905 WEST 19TH STREET, MOUNTAIN GROVE, MO 65711
(417) 926-1770
(417) 926-1785
Mailing address
1905 WEST 19TH STREET, MOUNTAIN GROVE, MO 65711
(417) 926-1770
(417) 926-1785

Taxonomy

Speciality
Code
Description
License number
State
261QR1300X
Rural Health Clinic/Center
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1265754501
MO
05
1285957001
MO
01
26D2006074
CLIA
MO
Enumeration date
02/26/2010
Last updated
10/31/2016
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