Organization
SULLIVAN COUNTY MEMORIAL HOSPITAL
Active
Parent organization
SULLIVAN COUNTY MEMORIAL HOSPITAL
Other names
Sullivan County Memorial Hospital Milan Family Practice
Organization subpart
Yes
Provider details
NPI number
Legal business name
SULLIVAN COUNTY MEMORIAL HOSPITAL
Authorized official
AMY MICHAEL (CHIEF OPERATING OFFICER)
(660) 265-4212
Entity
Organization
Contact information
Practice address
210 N MARKET ST, MILAN, MO 63556-1316
(660) 265-4456
Mailing address
630 W 3RD ST, MILAN, MO 63556-1076
(660) 265-4212
(660) 265-4898
Taxonomy
Speciality
Code
Description
License number
State
261QR1300X
Rural Health Clinic/Center
Primary
—
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
501720809
—
MO
05
—
591720800
—
MO
Enumeration date
10/11/2006
Last updated
11/30/2015
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