Tcmh - Mountain Grove Clinic

LBN: Texas County Memorial Hospital
Tcmh - Mountain Grove Clinic is an health care organization with primary practice located at 1905 West 19Th Street , Mountain Grove MO 65711. The organization recently has only one registered license in Ambulatory Health Care Facilities / Rural Health, which is considered as the primary health care specialty. Texas County Memorial Hospital can be contacted via phone (417) 926-1770, or through Pamperien, Linda J. via phone (417) 967-3311.

Contact Information

Primary practice address
1905 West 19Th Street Mountain Grove MO 65711
Fax: (417) 926-1785
Website:
Authorized official contact:
Name: Pamperien, Linda J.

Health care specialties

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

Profile Details

NPI number 1265754501
LBN Legal business name Texas County Memorial Hospital
DBA Doing business as Tcmh - Mountain Grove Clinic
Authorized official Pamperien, Linda J.
Entity Organization
Organization subpart 1 Yes
Enumeration date Feb 26th, 2010
Last updated Oct 31st, 2016 - about 8 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 1265754501 NPPES
Missouri MEDICAID 1265754501
Missouri MEDICAID 1285957001
Missouri Other 26D2006074

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