| Cooper County Memorial Hospital | |
| 
					600 W Morrison St Suite 5 Fayette MO 65248-1075  | |
| (660) 248-2900 | |
| (660) 248-1544 | 
| Full Name | Cooper County Memorial Hospital | 
|---|---|
| Speciality | Clinic/center - Rural Health | 
| Location | 600 W Morrison St, Fayette, Missouri | 
| Authorized Official Name and Position | Danielle Gearhart (ADMIN CEO) | 
| Authorized Official Contact | 6608827461 | 
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. | 
| Mailing Address | Practice Location Address | 
|---|---|
| Cooper County Memorial Hospital 17651 B Hwy Boonville MO 65233-2839 Ph: (660) 882-7461  | Cooper County Memorial Hospital 600 W Morrison St Suite 5 Fayette MO 65248-1075 Ph: (660) 248-2900  | 
| NPI Number | 1871626234 | 
|---|---|
| Provider Enumeration Date | 03/14/2007 | 
| Last Update Date | 07/25/2014 | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1871626234 | NPI | - | NPPES | 
| 590328506 | Medicaid | MO | |
| 26-3483 | Other | MO | MEDICARE ID/OSCAR | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 261QR1300X | Clinic/center - Rural Health | (* (Not Available)) | Primary | 
John Fitzgibbon Memorial Hospital Inc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 600 W Morrison St, Suite 5, Fayette, MO 65248 Phone: 660-248-2900 Fax: 660-248-1544  | |
Curators Of The University Of Missouri Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 308 S Church St, Fayette, MO 65248 Phone: 660-248-2217  | |
Curators Of The University Of Missouri Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 308 S Church St, Fayette, MO 65248 Phone: 660-248-2217 Fax: 660-248-3450  |