| Texas County Memorial Hospital | |
|
1905 West 19th Street Mountain Grove MO 65711 | |
| (417) 926-1770 | |
| (417) 926-1785 |
| Full Name | Texas County Memorial Hospital |
|---|---|
| Speciality | Clinic/Center |
| Location | 1905 West 19th Street, Mountain Grove, 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 1905 West 19th Street Mountain Grove MO 65711 Ph: (417) 926-1770 | Texas County Memorial Hospital 1905 West 19th Street Mountain Grove MO 65711 Ph: (417) 926-1770 |
| NPI Number | 1265754501 |
|---|---|
| Provider Enumeration Date | 02/26/2010 |
| Last Update Date | 10/31/2016 |
| Medicare PECOS PAC ID | 9436041696 |
|---|---|
| Medicare Enrollment ID | O20100505000258 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1265754501 | NPI | - | NPPES |
| 1265754501 | Medicaid | MO | |
| 1285957001 | Medicaid | MO | |
| 26D2006074 | Other | MO | CLIA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QR1300X | Clinic/center - Rural Health | (* (Not Available)) | Primary |
Mountain Grove Medical And Laser Center Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 601 N Busch Ave, Mountain Grove, MO 65711 Phone: 417-926-6643 Fax: 417-926-6317 | |
Family Walk In Clinic Of Mountain Grove Inc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 205 W 3rd St Ste 3, Mountain Grove, MO 65711 Phone: 417-926-3743 Fax: 417-926-7625 | |
Texas County Memorial Hospital Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1905 West 19th Street, Mountain Grove, MO 65711 Phone: 417-926-1770 Fax: 417-926-1785 | |
Ozarks Medical Center Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 500 E 19th St, Mountain Grove, MO 65711 Phone: 417-926-6563 Fax: 417-926-5820 | |
Mercy Clinic Springfield Communities Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 120 W 16th St, Mountain Grove, MO 65711 Phone: 417-926-6111 Fax: 417-926-6115 | |
Douglas County Public Health Services Group, Inc. Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1604 C. North Main Street, Mountain Grove, MO 65711 Phone: 417-926-1713 Fax: 417-926-1209 |