Professional Group

LBN: Cedar County Memorial Hospital
Professional Group is an health care organization with primary practice located at 1401 S Park St , El Dorado Springs MO 64744-2037. The organization recently has 6 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Anesthesiology, Allopathic & Osteopathic Physicians / Emergency Medicine, Allopathic & Osteopathic Physicians / Family Medicine, Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Hospitalist, Hospitals / Critical Access. Hospitals / Critical Access is the primary health care specialty. Cedar County Memorial Hospital can be contacted via phone (417) 876-2511, or through Nichols, Terry W via phone (417) 876-2511.

Contact Information

Primary practice address
1401 S Park St El Dorado Springs MO 64744-2037
Phone: (417) 876-2511
Fax: (417) 876-3812
Website:
Map and Directions
Authorized official contact:
Name: Nichols, Terry W
Phone: (417) 876-2511

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Anesthesiology 207L00000X
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X
Allopathic & Osteopathic Physicians / Hospitalist 208M00000X
Hospitals / Critical Access 282NC0060X

Profile Details

NPI number 1619090404
LBN Legal business name Cedar County Memorial Hospital
DBA Doing business as Professional Group
Authorized official Nichols, Terry W
Entity Organization
Organization subpart 1 No
Enumeration date Apr 9th, 2007
Last updated Jan 12th, 2023 - about last year

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 1619090404 NPPES
Missouri MEDICAID 540325305

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