Organization · Type 2 NPI

Pemiscot County Memorial Hospital

Rural Health Clinic/Center · New Madrid, MO

NPI number 1932372646 Active

Practice location

555 Virginia Ave
New Madrid, MO 63869

Call (573) 748-3107 Map

Fax (573) 748-3112

Mailing address

PO Box 442
Hayti, MO 63851-0442

Other practice locations

310 E Main St, Hayti, MO 63851-1639 · (573) 359-2019

Specialties and licenses

Taxonomy	Code	License
Rural Health Clinic/Center Primary	261QR1300X	None listed

Rural Health Clinic/Center: Definition to come...

Other rural health clinic/center providers in New Madrid

Southeast Health Center of Stoddard County LLCRural Health Clinic/Center New Madrid, MO NPI 1639736457
Missouri Delta Medical CenterRural Health Clinic/Center New Madrid, MO NPI 1972944593

See all in New Madrid →

NPI record

NPI: 1932372646
Entity type: Organization (Type 2)
Issued: Apr 3, 2008
Last updated: Jun 22, 2018
Status: Active
Subpart: Yes of Pemiscot County Memorial Hospital

Other names

<unavail>
Bootheel Primary Care New Madrid · doing business as

Authorized official

Cathy Lacey
Credentialing Director
(573) 359-3659

Verify this record

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 1932372646

Pemiscot County Memorial Hospital's National Provider Identifier is 1932372646, issued on Apr 3, 2008. The primary taxonomy on file is Rural Health Clinic/Center (261QR1300X), and the practice location is in New Madrid, MO. The record was last updated on Jun 22, 2018.