| Organization Name: | COOPER COUNTY MEMORIAL HOSPITAL |
| NPI Number: | 1154454551 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | DANIELLE GEARHART (ADMINISTRATOR CEO) |
| Mailing Address: | 17601 B Hwy Boonville |
| State: | MO US |
| Postal Code: | 652330088 |
| Phone Number: | 6608827461 |
| Fax Number: | 6608826093 |
| NPI Enumeration Date: | 03/14/2007 |
| NPI Last Update Date: | 06/17/2014 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 261QR1300X |
| License Number: | 24836 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | MO |
| Taxonomy Type: | Ambulatory Health Care Facilities |
| Taxonomy Classification: | Clinic/Center |
| Taxonomy Specialization: | Rural Health |
| Taxonomy Definition: | |