Pemiscot Primary Care Center

LBN: Pemiscot County Memorial Hospital
Pemiscot Primary Care Center is an health care organization with primary practice located at 907 E Reed St , Hayti MO 63851-1242. The organization recently has only one registered license in Ambulatory Health Care Facilities / Rural Health, which is considered as the primary health care specialty. Pemiscot County Memorial Hospital can be contacted via phone (573) 359-3660, or through White-Wagoner, Joan via phone (573) 359-3612.

Contact Information

Primary practice address
907 E Reed St Hayti MO 63851-1242
Phone: (573) 359-3660
Fax: (573) 359-3521
Website:
Map and Directions
Authorized official contact:
Name: White-Wagoner, Joan
Phone: (573) 359-3612

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Rural Health 261QR1300X

Profile Details

NPI number 1518065291
LBN Legal business name Pemiscot County Memorial Hospital
DBA Doing business as Pemiscot Primary Care Center
Authorized official White-Wagoner, Joan
Entity Organization
Organization subpart 1 No
Enumeration date Sep 20th, 2006
Last updated Sep 27th, 2023 - about 2 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 1518065291 NPPES
Missouri MEDICAID 597723402

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