Organization
COOPER COUNTY MEMORIAL HOSPITAL
Active
Other names
CCMH Family Health Glasgow
Organization subpart
No
Provider details
NPI number
Authorized official
DANIELLE GEARHART (CEO)
(660) 882-7461
Entity
Organization
Contact information
Practice address
108 MARKET ST, GLASGOW, MO 65254-1053
(660) 338-2233
(660) 338-2817
Mailing address
17651 B HWY, P O BOX 88, BOONVILLE, MO 65233-2839
(660) 882-7461
(660) 882-6093
Taxonomy
Speciality
Code
Description
License number
State
261QR1300X
Rural Health Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1811332935
—
MO
Enumeration date
05/02/2013
Last updated
07/22/2014
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