Organization Name: | PEMISCOT COUNTY MEMORIAL HOSPITAL |
NPI Number: | 1518065291 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | KERRY NOBLE (C.E.O.) |
Mailing Address: | 907 E Reed St Hayti |
State: | MO US |
Postal Code: | 638511242 |
Phone Number: | 5733593660 |
Fax Number: | 5733593521 |
NPI Enumeration Date: | 09/20/2006 |
NPI Last Update Date: | 03/10/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 261QR1300X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
Taxonomy Type: | Ambulatory Health Care Facilities |
Taxonomy Classification: | Clinic/Center |
Taxonomy Specialization: | Rural Health |
Taxonomy Definition: |