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Organization

PIKE COUNTY MEMORIAL HOSPITAL

Active
Other names
PCMH Clinic
Organization subpart
No

Provider details

NPI number
Authorized official
JUSTIN SELLE (CEO)
(573) 754-5531
Entity
Organization

Contact information

Practice address
425 N GALLOWAY RD, VANDALIA, MO 63382-1259
(573) 594-2111
Mailing address
2305 GEORGIA ST, LOUISIANA, MO 63353-2559
(573) 754-5531

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary

Other

Enumeration date
12/20/2017
Last updated
12/20/2017
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