Organization · Type 2 NPI

Texas County Memorial Hospital

Primary Care Clinic/Center · Licking, MO

NPI number 1235178930 Active

Practice location

139 W Highway 32
Licking, MO 65542-9898

Fax (573) 674-4765

Specialties and licenses

Taxonomy	Code	License
Primary Care Clinic/Center Primary	261QP2300X	None listed

Primary Care Clinic/Center: Definition to come...

4 other providers at this address

NPI record

NPI: 1235178930
Entity type: Organization (Type 2)
Issued: Jun 6, 2006
Last updated: Jul 12, 2024
Status: Active
Subpart: Yes of Texas County Memorial Hospital

Other names

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TCMH Family Clinic - Licking · doing business as

Authorized official

Mrs. Linda J. Pamperien
Chief Financial Officer
(417) 967-3311

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This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1235178930

Texas County Memorial Hospital's National Provider Identifier is 1235178930, issued on Jun 6, 2006. The primary taxonomy on file is Primary Care Clinic/Center (261QP2300X), and the practice location is in Licking, MO. The record was last updated on Jul 12, 2024.