Organization
SALEM MEMORIAL HOSPITAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BROOKE BOLLMAN (CEO)
(573) 739-1927
Entity
Organization
Contact information
Practice address
35629 HIGHWAY 72, SALEM, MO 65560-7217
(573) 729-6626
(573) 729-6502
Mailing address
PO BOX 774, 35629 HIGHWAY 72, SALEM, MO 65560-0774
(573) 729-6626
(573) 729-6502
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
25234
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
540570306
—
MO
Enumeration date
02/06/2006
Last updated
04/06/2026
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