Organization
CEDAR COUNTY MEMORIAL HOSPITAL
Active
Parent organization
CEDAR COUNTY MEMORIAL HOSPITAL
Other names
CCMH Medical Mall Clinic, Professional Group
Organization subpart
Yes
Provider details
NPI number
Legal business name
CEDAR COUNTY MEMORIAL HOSPITAL
Authorized official
DONALD L CARPENTER (CEO)
(417) 876-2511
Entity
Organization
Contact information
Practice address
1317 S STATE HIGHWAY 32, EL DORADO SPRINGS, MO 64744-2302
(417) 876-3333
(417) 876-4509
Mailing address
1401 S PARK ST, EL DORADO SPRINGS, MO 64744-2037
(417) 876-2511
(417) 876-3812
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
508079605
—
MO
Enumeration date
04/06/2007
Last updated
04/01/2026
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