Organization
TEXAS COUNTY MEMORIAL HOSPITAL
Active
Parent organization
TEXAS COUNTY MEMORIAL HOSPITAL
Other names
TCMH - Cabool Medical 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
500 MAIN STREET, CABOOL, MO 65689
(417) 962-3015
(417) 962-5938
Mailing address
500 MAIN STREET, PO BOX 380, CABOOL, MO 65689
(417) 962-3015
(417) 962-5938
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
—
—
261QP2300X
Primary Care Clinic/Center
Primary
—
—
261QR1300X
Rural Health Clinic/Center
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
26-8603
RH MEDICARE
MO
01
—
26D0859759
CLIA
MO
05
—
507943900
—
MO
01
—
597943901
RH MEDICAID
MO
Enumeration date
06/08/2006
Last updated
08/10/2010
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