Organization
BARTON COUNTY MEMORIAL HOSPITAL
Active
Other names
Medical One Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
T J KILLINGSWORTH (CREDENTIALING)
(417) 681-5248
Entity
Organization
Contact information
Practice address
29 NW 1ST LN, LAMAR, MO 64759-8105
(417) 681-5284
(417) 681-5526
Mailing address
29 NW 1ST LN, LAMAR, MO 64759-8105
(417) 681-5284
(417) 681-5526
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
193200000X
TAXONOMY
MO
01
—
208D00000X
TAXONOMY
MO
Enumeration date
11/04/2009
Last updated
05/03/2016
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