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Organization

CARROLL COUNTY MEMORIAL HOSPITAL

Active
Other names
Carroll County Memorial Hospital
Organization subpart
No

Provider details

NPI number
Authorized official
AMY DANIELLE IRELAND (CFO)
(660) 329-6005
Entity
Organization

Contact information

Practice address
1502 N JEFFERSON ST, CARROLLTON, MO 64633-1948
(660) 542-1695
(660) 542-0363
Mailing address
1502 N JEFFERSON, CARROLLTON, MO 64633-1948
(660) 542-1695
(660) 542-0363

Taxonomy

Speciality
Code
Description
License number
State
275N00000X
Medicare Defined Swing Bed Hospital Unit
26Z332
MO
275N00000X
Medicare Defined Swing Bed Hospital Unit
MO
282NC0060X
Critical Access Hospital
Primary
210-45
MO

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
010157907
MO
01
90017016
BCBS
MO
Enumeration date
07/18/2005
Last updated
10/29/2021
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