Organization
SULLIVAN COUNTY MEMORIAL HOSPITAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
AMY MICHAEL (CHIEF OPERATING OFFICER)
(660) 265-4212
Entity
Organization
Contact information
Practice address
106 NORTH MAIN, NEWTOWN, MO 64667-1000
(660) 794-5100
(660) 265-3406
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
130-55
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
540324803
—
MO
Enumeration date
02/09/2007
Last updated
09/17/2013
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