Organization
TEXAS COUNTY MEMORIAL HOSPITAL
Active
Organization
TEXAS COUNTY MEMORIAL HOSPITAL
Active
Parent organization
TEXAS COUNTY MEMORIAL HOSPITAL
Other names
TCMH Internal Medicine Associates
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
1337 S SAM HOUSTON BLVD, HOUSTON, MO 65483-2046
(417) 967-5435
(417) 967-5503
Mailing address
1337 S SAM HOUSTON BLVD, HOUSTON, MO 65483-2046
(417) 967-5435
(417) 967-5503
Taxonomy
Speciality
Code
Description
License number
State
261QM1300X
Multi-Specialty Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
26D0889777
CLIA
MO
05
—
507780302
—
MO
01
—
C43492
RR MEDICARE
MO
Enumeration date
06/05/2006
Last updated
03/14/2017
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