| Sullivan County Memorial Hospital | |
| 
					106 North Main Newtown MO 64667-1000  | |
| (660) 794-5100 | |
| (660) 265-3406 | 
| Full Name | Sullivan County Memorial Hospital | 
|---|---|
| Speciality | Clinic/center - Rural Health | 
| Location | 106 North Main, Newtown, Missouri | 
| Authorized Official Name and Position | Amy Michael (CHIEF OPERATING OFFICER) | 
| Authorized Official Contact | 6602654212 | 
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. | 
| Mailing Address | Practice Location Address | 
|---|---|
| Sullivan County Memorial Hospital 630 W 3rd St Milan MO 63556-1076 Ph: (660) 265-4212  | Sullivan County Memorial Hospital 106 North Main Newtown MO 64667-1000 Ph: (660) 794-5100  | 
| NPI Number | 1770624967 | 
|---|---|
| Provider Enumeration Date | 02/09/2007 | 
| Last Update Date | 09/17/2013 | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1770624967 | NPI | - | NPPES | 
| 540324803 | Medicaid | MO | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 261QR1300X | Clinic/center - Rural Health | 130-55 (Missouri) | Primary |