1932372646 NPI number — PEMISCOT COUNTY MEMORIAL HOSPITAL

Table of content: (NPI 1932372646)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1932372646 NPI number — PEMISCOT COUNTY MEMORIAL HOSPITAL

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
PEMISCOT 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:
1932372646
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
06/22/2018
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
PO BOX 442
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
HAYTI
Provider Business Mailing Address State Name:
MO
Provider Business Mailing Address Postal Code:
63851-0442
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
573-359-3659
Provider Business Mailing Address Fax Number:
573-359-3608

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
555 VIRGINIA AVE
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
NEW MADRID
Provider Business Practice Location Address State Name:
MO
Provider Business Practice Location Address Postal Code:
63869
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
573-748-3107
Provider Business Practice Location Address Fax Number:
573-748-3112
Provider Enumeration Date:
04/03/2008

Additional Information

Authorized Official

Authorized Official Last Name:
LACEY
Authorized Official First Name:
CATHY
Authorized Official Middle Name:
Authorized Official Title or Position:
CREDENTIALING DIRECTOR
Authorized Official Telephone Number:
573-359-3659

Provider Taxonomy Codes

  • Taxonomy code: 261QR1300X , 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: 597723402 , issued by the state of ( MO ) . This identifiers is of the category "MEDICAID".




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