Organization
PEMISCOT COUNTY MEMORIAL HOSPITAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KERRY NOBLE (CEO)
(573) 359-3612
Entity
Organization
Contact information
Practice address
946 E REED ST, HAYTI, MO 63851-1243
(573) 359-3612
(573) 359-3398
Mailing address
PO BOX 489, 946 EAST REED, HAYTI, MO 63851-0489
(573) 359-1372
(573) 359-3398
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
620988501
—
MO
Enumeration date
08/22/2006
Last updated
11/02/2011
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