Organization
CARROLL COUNTY HOSPITAL PHTYSICIANS
Active
Parent organization
CARROLL COUNTY MEMORIAL HOSPITAL
Organization subpart
Yes
Provider details
NPI number
Legal business name
CARROLL COUNTY MEMORIAL HOSPITAL
Authorized official
AMY IRELAND (CFO)
(660) 542-1695
Entity
Organization
Contact information
Practice address
1502 N JEFFERSON ST, CARROLLTON, MO 64633-1948
(660) 542-1695
(660) 542-0363
Mailing address
1502 N JEFFERSON ST, CARROLLTON, MO 64633-1948
(660) 542-1695
(660) 542-0363
Taxonomy
Speciality
Code
Description
License number
State
282NC0060X
Critical Access Hospital
Primary
21047
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
540157906
—
MO
Enumeration date
08/18/2008
Last updated
10/29/2021
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