Ccmh Medical Mall Clinic

LBN: Cedar County Memorial Hospital
Ccmh Medical Mall Clinic is an health care organization with primary practice located at 1317 S State Highway 32 , El Dorado Springs MO 64744-2302. The organization recently has only one registered license in Ambulatory Health Care Facilities / Clinic/Center, which is considered as the primary health care specialty. Cedar County Memorial Hospital can be contacted via phone (417) 876-3333, or through Nichols, Terry W via phone (417) 876-2511.

Contact Information

Primary practice address
1317 S State Highway 32 El Dorado Springs MO 64744-2302
Phone: (417) 876-3333
Fax: (417) 876-4509
Website:
Map and Directions
Authorized official contact:
Name: Nichols, Terry W
Phone: (417) 876-2511

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Clinic/Center 261Q00000X

Profile Details

NPI number 1992827273
LBN Legal business name Cedar County Memorial Hospital
DBA Doing business as Ccmh Medical Mall Clinic
Authorized official Nichols, Terry W
Entity Organization
Organization subpart 1 Yes
Enumeration date Apr 6th, 2007
Last updated Mar 6th, 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 1992827273 NPPES
Missouri MEDICAID 508079605

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