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
PAULA M LALOR (DIRECTOR/DELEGATED OFFICIAL)
(629) 215-3953
Entity
Organization
Contact information
Practice address
1607 S BALTIMORE ST, KIRKSVILLE, MO 63501-4536
(660) 627-3363
Mailing address
315 S OSTEOPATHY AVE, KIRKSVILLE, MO 63501-6401
(660) 785-1000
Taxonomy
Speciality
Code
Description
License number
State
261QR1300X
Rural Health Clinic/Center
Primary
—
—
Other
Enumeration date
12/29/2011
Last updated
04/08/2021
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