Organization
MCCUNE BROOKS HOSPITAL
Active
Parent organization
MCCUNE BROOKS HOSPITAL
Other names
McCune Brooks Home Health Services
Organization subpart
Yes
Provider details
NPI number
Legal business name
MCCUNE BROOKS HOSPITAL
Authorized official
MR. ROBERT Y COPELAND JR. (ADMINISTRATOR)
(417) 358-8121
Entity
Organization
Contact information
Practice address
3125 DR RUSSELL SMITH WAY, CARTHAGE, MO 64836-7402
(417) 358-8121
Mailing address
3125 DR RUSSELL SMITH WAY, CARTHAGE, MO 64836-7402
(417) 358-8121
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
182.21
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
102
BLUE CROSS BLUE SHIELD IN
MO
05
—
580670909
—
MO
Enumeration date
01/19/2006
Last updated
02/28/2012
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