Carroll County Memorial Hospital

LBN: Carroll County Memorial Hospital
Carroll County Memorial Hospital is an health care organization with primary practice located at 1502 N Jefferson St , Carrollton MO 64633-1948. The organization recently has 2 registered licenses in different health care specialties including Hospital Units / Medicare Defined Swing Bed Unit, Hospitals / Critical Access. Hospitals / Critical Access is the primary health care specialty. Carroll County Memorial Hospital can be contacted via phone (660) 542-1695, or through Ireland, Amy Danielle via phone (660) 329-6005.

Contact Information

Primary practice address
1502 N Jefferson St Carrollton MO 64633-1948
Fax: (660) 542-0363
Website:
Authorized official contact:
Name: Ireland, Amy Danielle

Health care specialties

SpecialtyCodeLicense #State
Hospital Units / Medicare Defined Swing Bed Unit 275N00000X 26Z332 Missouri
Hospital Units / Medicare Defined Swing Bed Unit 275N00000X Missouri
Hospitals / Critical Access 282NC0060X 210-45 Missouri

Profile Details

NPI number 1528067113
LBN Legal business name Carroll County Memorial Hospital
DBA Doing business as Carroll County Memorial Hospital
Authorized official Ireland, Amy Danielle
Entity Organization
Organization subpart 1 No
Enumeration date Jul 18th, 2005
Last updated Oct 29th, 2021 - about 4 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1528067113 NPPES
Missouri Other 90017016 BCBS
Missouri MEDICAID 010157907 BCBS

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