| 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 |