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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, SALEM, MO 65560-0774
(573) 729-6626
(573) 729-4501

Taxonomy

Speciality
Code
Description
License number
State
282NC0060X
Critical Access Hospital
Primary
58567
MO

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0004
CIGNA
05
0101570307
MO
01
110368
HEALTHLINK
01
137
BLUE CROSS
01
260172
MERCY/PREMIERE
01
5007100
UNITED HEALTHCARE
Enumeration date
07/13/2005
Last updated
04/06/2026
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