Organization
PEMISCOT COUNTY MEMORIAL HOSPITAL
Active
Other names
Bootheel Primary Care Clinic - Kennett
Organization subpart
No
Provider details
NPI number
Authorized official
LAUREN TURNAGE (REVENUE CYCLE DIRECTOR)
(573) 359-3498
Entity
Organization
Contact information
Practice address
1231 1ST ST STE 5, KENNETT, MO 63857-2521
(573) 888-8828
(573) 888-8830
Mailing address
PO BOX 442, HAYTI, MO 63851-0442
(573) 359-3659
(573) 359-3608
Taxonomy
Speciality
Code
Description
License number
State
261QR1300X
Rural Health Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
598517803
—
MO
Enumeration date
09/05/2006
Last updated
08/07/2024
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