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Organization

KIRKSVILLE MISSOURI HOSPITAL COMPANY LLC

Active
Parent organization
KIRKSVILLE MISSOURI HOSPITAL COMPANY LLC
Other names
Northeast Regional Medical Group
Organization subpart
Yes

Provider details

NPI number
Legal business name
KIRKSVILLE MISSOURI HOSPITAL COMPANY LLC
Authorized official
BRIAN PEOPLES (VICE-PRESIDENT)
(615) 465-7585
Entity
Organization

Contact information

Practice address
1607 S BALTIMORE ST, KIRKSVILLE, MO 63501-4536
(660) 627-3363
(660) 627-3367
Mailing address
PO BOX 689022, FRANKLIN, TN 37068-9022
(615) 465-7000
(615) 465-3007

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
MO
207R00000X
Internal Medicine Physician
MO
207RC0000X
Cardiovascular Disease Physician
MO
207RC0200X
Critical Care Medicine (Internal Medicine) Physician

Other

Enumeration date
10/12/2012
Last updated
12/04/2012
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