Sullivan County Memorial Hospital

LBN: Sullivan County Memorial Hospital
Sullivan County Memorial Hospital is an health care organization with primary practice located at 630 W 3Rd St , Milan MO 63556-1076. The organization recently has 2 registered licenses in different health care specialties including Hospital Units / Medicare Defined Swing Bed Unit, Hospitals / Critical Access. Hospital Units / Medicare Defined Swing Bed Unit is the primary health care specialty. Sullivan County Memorial Hospital can be contacted via phone (660) 265-4212, or through Michael, Amy via phone (660) 265-4212.

Contact Information

Primary practice address
630 W 3Rd St Milan MO 63556-1076
Phone: (660) 265-4212
Fax: (660) 265-4898
Website:
Map and Directions
Authorized official contact:
Name: Michael, Amy
Phone: (660) 265-4212

Health care specialties

SpecialtyCodeLicense #State
Hospital Units / Medicare Defined Swing Bed Unit 275N00000X
Hospitals / Critical Access 282NC0060X 130-49 Missouri

Profile Details

NPI number 1275674699
LBN Legal business name Sullivan County Memorial Hospital
DBA Doing business as
Authorized official Michael, Amy
Entity Organization
Organization subpart 1 No
Enumeration date Feb 9th, 2007
Last updated Apr 24th, 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 1275674699 NPPES
Missouri MEDICAID 010324804

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