Organization
BARTON COUNTY MEMORIAL HOSPITAL
Active
Other names
LOCKWOOD CLINIC
Organization subpart
No
Provider details
NPI number
Authorized official
T J KILLINGSWORTH (BUSINESS OFFICE SUPERVISOR)
(417) 232-5200
Entity
Organization
Contact information
Practice address
723 S MAIN ST, LOCKWOOD, MO 65682-0301
(417) 232-5200
(417) 232-5220
Mailing address
723 S MAIN ST, LOCKWOOD, MO 65682-0301
(417) 232-5200
(417) 232-5220
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
101370
MO
207V00000X
Obstetrics & Gynecology Physician
105928
MO
207V00000X
Obstetrics & Gynecology Physician
106158
MO
261QR1300X
Rural Health Clinic/Center
Primary
268624
MO
363LF0000X
Family Nurse Practitioner
F0497088
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1013010370
MICHELLE ADRIANA BOICE M.D.
MO
05
—
1104801547
—
MO
05
—
1184881090
—
MO
05
—
1427256007
—
MO
01
—
1497962260
DEBBIE JOHNSON FNP
MO
01
—
1689717456
THOMAS A HOPKINS MD
MO
05
—
540421401
—
MO
Enumeration date
07/05/2007
Last updated
05/26/2015
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