| Texas County Memorial Hospital | |
|
1337 S Sam Houston Blvd Houston MO 65483-2046 | |
| (417) 967-5435 | |
| (417) 967-5503 |
| Full Name | Texas County Memorial Hospital |
|---|---|
| Speciality | Clinic/Center |
| Location | 1337 S Sam Houston Blvd, Houston, Missouri |
| Authorized Official Name and Position | Linda J. Pamperien (CHIEF FINANCIAL OFFICER) |
| Authorized Official Contact | 4179673311 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Texas County Memorial Hospital 1337 S Sam Houston Blvd Houston MO 65483-2046 Ph: (417) 967-5435 | Texas County Memorial Hospital 1337 S Sam Houston Blvd Houston MO 65483-2046 Ph: (417) 967-5435 |
| NPI Number | 1306885587 |
|---|---|
| Provider Enumeration Date | 06/05/2006 |
| Last Update Date | 03/14/2017 |
| Medicare PECOS PAC ID | 9436041696 |
|---|---|
| Medicare Enrollment ID | O20040325000339 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1306885587 | NPI | - | NPPES |
| 507780302 | Medicaid | MO | |
| 26D0889777 | Other | MO | CLIA |
| C43492 | Other | MO | RR MEDICARE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM1300X | Clinic/center - Multi-specialty | (* (Not Available)) | Primary |
| Provider Name | Debra J Buckle Morgan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1568416550 PECOS PAC ID: 5698741023 Enrollment ID: I20040908000296 |
| Provider Name | Charles S Rasmussen |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1891826269 PECOS PAC ID: 1254363393 Enrollment ID: I20050909000010 |
| Provider Name | Robin L Trotman |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1205897857 PECOS PAC ID: 5698795516 Enrollment ID: I20061116000044 |
| Provider Name | Christopher O Baldwin |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1164483921 PECOS PAC ID: 3173629961 Enrollment ID: I20070511000351 |
| Provider Name | Patricia A Benoist |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1942359005 PECOS PAC ID: 7517055973 Enrollment ID: I20080920000050 |
| Provider Name | William C Wright |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1548217870 PECOS PAC ID: 1951376029 Enrollment ID: I20090528000113 |
| Provider Name | Corinne Sundar Rao |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1255325643 PECOS PAC ID: 3375688047 Enrollment ID: I20100305000116 |
| Provider Name | Jessica Renee King |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1649434200 PECOS PAC ID: 6608907977 Enrollment ID: I20100630000472 |
| Provider Name | Raymond E Bruno |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1023182888 PECOS PAC ID: 3274666243 Enrollment ID: I20100728000990 |
| Provider Name | Gretchen E Price |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1407160641 PECOS PAC ID: 8729103916 Enrollment ID: I20100910000865 |
| Provider Name | Jonathan R Beers |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1477783686 PECOS PAC ID: 0244419851 Enrollment ID: I20121024000407 |
| Provider Name | Juan F Mella |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1629185897 PECOS PAC ID: 2466468319 Enrollment ID: I20140818002674 |
| Provider Name | Holly N Atterberry |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1760862551 PECOS PAC ID: 4587976535 Enrollment ID: I20150702002298 |
| Provider Name | Amit C Shah |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1689806978 PECOS PAC ID: 3678739984 Enrollment ID: I20150723007568 |
| Provider Name | Mehdi M Tajouri |
|---|---|
| Provider Type | Practitioner - Addiction Medicine |
| Provider Identifiers | NPI Number: 1891135430 PECOS PAC ID: 2365758810 Enrollment ID: I20150831000590 |
| Provider Name | Sara A Openshaw |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1467822650 PECOS PAC ID: 3971813668 Enrollment ID: I20151109002357 |
| Provider Name | Sheena C Painter |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1760834378 PECOS PAC ID: 9032403233 Enrollment ID: I20160811000254 |
| Provider Name | Lynsey R Sullivan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1417492539 PECOS PAC ID: 1951684851 Enrollment ID: I20170217001991 |
| Provider Name | Teresa L Loden |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1730527318 PECOS PAC ID: 4587897046 Enrollment ID: I20180625001137 |
| Provider Name | Tommi Jean Alcorn |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1538717871 PECOS PAC ID: 7719218759 Enrollment ID: I20191007000780 |
| Provider Name | Latricia Juneau |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1770171514 PECOS PAC ID: 1850705773 Enrollment ID: I20210203002783 |
| Provider Name | John R Carr |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1154816858 PECOS PAC ID: 5698027837 Enrollment ID: I20210805001683 |
| Provider Name | William R Errico |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1366529570 PECOS PAC ID: 9830222082 Enrollment ID: I20230801002516 |
| Provider Name | Kristina R Grant |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1356922298 PECOS PAC ID: 2264835685 Enrollment ID: I20240723000967 |
Hometown Healthcare And Wellness Center, Inc. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 107 E Pine St, Houston, MO 65483 Phone: 417-967-0537 Fax: 417-967-0542 | |
Texas County Memorial Hospital Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1333 S Sam Houston Blvd Ste A, Houston, MO 65483 Phone: 417-967-1319 Fax: 417-967-3764 | |
Dale Family Medicine Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1340 S Sam Houston Blvd, Houston, MO 65483 Phone: 417-967-3755 Fax: 417-967-2630 | |
Douglas County Public Health Services Group, Inc. Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1340 S Sam Houston Blvd, Houston, MO 65483 Phone: 417-683-4831 | |
Mercy Clinic-springfield Communities Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1422 S Sam Houston Blvd, Houston, MO 65483 Phone: 417-967-4445 Fax: 417-967-4453 | |
Texas County Memorial Hospital Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1333 S Sam Houston Blvd, Houston, MO 65483 Phone: 417-967-1252 Fax: 417-967-0417 |