Organization
LINCOLN COUNTY MEMORIAL HOSPITAL
Active
Parent organization
LINCOLN COUNTY MEMORIAL HOSPITAL DBA LINCOLN COUNTY MEDICAL CENTER
Other names
Doctors Professional Clinic
Organization subpart
Yes
Provider details
NPI number
Legal business name
LINCOLN COUNTY MEMORIAL HOSPITAL DBA LINCOLN COUNTY MEDICAL CENTER
Authorized official
MR. PATRICK G BIRA (CHIEF EXECUTIVE OFFICER)
(636) 528-3326
Entity
Organization
Contact information
Practice address
1165 E CHERRY ST, TROY, MO 63379-1520
(636) 528-7722
(636) 528-7744
Mailing address
1165 E CHERRY ST, TROY, MO 63379-1520
(636) 528-7722
(636) 528-7744
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
242201705
—
MO
Enumeration date
07/26/2006
Last updated
12/18/2014
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