1275730160 NPI number — BARTON COUNTY MEMORIAL HOSPITAL

Table of content: (NPI 1275730160)

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: 363LF0000X , with the licence number: F0497088 , 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" .

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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