1275730160 NPI number — BARTON COUNTY MEMORIAL HOSPITAL

Table of Contents

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1275730160 NPI number — BARTON COUNTY MEMORIAL HOSPITAL

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
BARTON COUNTY MEMORIAL HOSPITAL
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
6
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1275730160
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
05/20/2015
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
29 NW 1ST LN
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
LAMAR
Provider Business Mailing Address State Name:
MO
Provider Business Mailing Address Postal Code:
64759-8105
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
417-681-5284
Provider Business Mailing Address Fax Number:
417-681-5514

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
29 NW 1ST LN
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
LAMAR
Provider Business Practice Location Address State Name:
MO
Provider Business Practice Location Address Postal Code:
64759-8105
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
417-681-5284
Provider Business Practice Location Address Fax Number:
417-681-5514
Provider Enumeration Date:
07/02/2007

Additional Information

Authorized Official

Authorized Official Last Name:
KILLINGSWORTH
Authorized Official First Name:
T
Authorized Official Middle Name:
J
Authorized Official Title or Position:
BILLING OFFICE SUPERVISOR
Authorized Official Telephone Number:
417-681-5248

Provider Taxonomy Codes

  • Taxonomy code: 207Q00000X , with the licence number:  101370 , registered in the state of MO ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
  • Taxonomy code: 207RR0500X , with the licence number: R3B59 , registered in the state of MO ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
  • Taxonomy code: 207RR0500X , with the licence number: 114482 , registered in the state of MO ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
  • Taxonomy code: 207V00000X , with the licence number: 105928 , registered in the state of MO ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
  • Taxonomy code: 207V00000X , with the licence number: 106158 , registered in the state of MO ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
  • Taxonomy code: 2084N0400X , with the licence number: 100303 , registered in the state of MO ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
  • Taxonomy code: 261QR1300X , with the licence number: 268648 , registered in the state of MO ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .
  • Taxonomy code: 363LF0000X , with the licence number: F0497088 , registered in the state of MO ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: 1184660995 . This is a "CHRISTOPHER R ANDREWS MD" identifier . This identifiers is of the category "OTHER".
  • Identifier: 1235169723 , issued by the state of ( MO ) . This identifiers is of the category "MEDICAID".
  • Identifier: 1538182639 . This is a "JUSTIN S OGDEN MD" identifier . This identifiers is of the category "OTHER".
  • Identifier: 1689717456 . This is a "THOMAS A HOPKINS MD" identifier , issued by the state of ( MO ) . This identifiers is of the category "OTHER".
  • Identifier: 1194051433 . This is a "TIFFANY HUFFMAN FNP" identifier . This identifiers is of the category "OTHER".
  • Identifier: 1275730160 , issued by the state of ( MO ) . This identifiers is of the category "MEDICAID".
  • Identifier: 1013955541 . This is a "MARK JAREK MD" identifier , issued by the state of ( MO ) . This identifiers is of the category "OTHER".
  • Identifier: 1013010370 . This is a "MICHELLE A BOICE MD" identifier , issued by the state of ( MO ) . This identifiers is of the category "OTHER".
  • Identifier: 1083614291 . This is a "DAVID E BROWN, DO" identifier , issued by the state of ( MO ) . This identifiers is of the category "OTHER".
  • Identifier: 268648 . This is a "RURAL HEALTH CLINIC PROVIDER NUMBER" identifier , issued by the state of ( MO ) . This identifiers is of the category "OTHER".
  • Identifier: 6601360001 . This is a "DMEPOS" identifier , issued by the state of ( MO ) . This identifiers is of the category "OTHER".
  • Identifier: 1174555957 . This is a "LARRY K MIDYETT" identifier . This identifiers is of the category "OTHER".
  • Identifier: 1194051433 . This is a "NPI" identifier . This identifiers is of the category "OTHER".
  • Identifier: 1235169723 . This is a "JOSEPH F WILSON, DO" identifier , issued by the state of ( MO ) . This identifiers is of the category "OTHER".
  • Identifier: 1972546802 . This is a "RICHARD G KENNEY DO" identifier , issued by the state of ( MO ) . This identifiers is of the category "OTHER".
  • Identifier: 1710063078 , issued by the state of ( MO ) . This identifiers is of the category "MEDICAID".
  • Identifier: 1083614291 , issued by the state of ( MO ) . This identifiers is of the category "MEDICAID".
  • Identifier: 1407959760 . This is a "BRETT E BOICE DO" identifier , issued by the state of ( MO ) . This identifiers is of the category "OTHER".
  • Identifier: 1669416046 . This is a "ANTHONY T TAY MD" identifier . This identifiers is of the category "OTHER".
  • Identifier: 1710063078 . This is a "JOHN E ALDEN DO" identifier , issued by the state of ( MO ) . This identifiers is of the category "OTHER".




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