Organization
TEXAS COUNTY MEMORIAL HOSPITAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. LINDA J PAMPERIEN (CHIEF FINANCIAL OFFICER)
(417) 967-3311
Entity
Organization
Contact information
Practice address
1333 S SAM HOUSTON BLVD, HOUSTON, MO 65483-2046
(417) 967-3311
(417) 967-1234
Mailing address
1333 S SAM HOUSTON BLVD, HOUSTON, MO 65483
(417) 967-3311
(417) 967-1234
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
—
—
207Q00000X
Family Medicine Physician
—
—
207RP1001X
Pulmonary Disease Physician
—
—
208M00000X
Hospitalist Physician
—
—
282N00000X
General Acute Care Hospital
Primary
17248
MO
3416L0300X
Land Ambulance
—
—
367500000X
Certified Registered Nurse Anesthetist
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
010156503
—
MO
01
—
26D0446923
CLIA
—
05
—
500116526
—
MO
05
—
540156502
—
MO
05
—
800156507
—
MO
Enumeration date
04/18/2006
Last updated
12/16/2022
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