| Organization Name: | CEDAR COUNTY MEMORIAL HOSPITAL |
| NPI Number: | 1720039605 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | JANA C. WITT (C.E.O.) |
| Mailing Address: | 1401 S Park St El Dorado Springs |
| State: | MO US |
| Postal Code: | 647442037 |
| Phone Number: | 4178762511 |
| Fax Number: | 4178763812 |
| NPI Enumeration Date: | 05/15/2006 |
| NPI Last Update Date: | 08/14/2013 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 282NC0060X |
| License Number: | 208-44 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | MO |
| Taxonomy Type: | Hospitals |
| Taxonomy Classification: | General Acute Care Hospital |
| Taxonomy Specialization: | Critical Access |
| Taxonomy Definition: | |