Organization · Type 2 NPI

Pemiscot County Memorial Hospital

Rural Health Clinic/Center · Kennett, MO

NPI number 1992807390 Active

Practice location

1231 1st St Ste 5
Kennett, MO 63857-2521

Call (573) 888-8828 Map

Fax (573) 888-8830

Mailing address

PO Box 442
Hayti, MO 63851-0442

Specialties and licenses

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

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

Another provider at this address

Jeremy HughesFamily Nurse Practitioner Kennett, MO NPI 1699200477

Other rural health clinic/center providers in Kennett

See all in Kennett →

NPI record

NPI: 1992807390
Entity type: Organization (Type 2)
Issued: Sep 5, 2006
Last updated: Aug 7, 2024
Status: Active

Other names

<unavail>
Bootheel Primary Care Clinic - Kennett · doing business as
Bootheel Primary Care Clinic - Kennett · doing business as

Authorized official

Lauren Turnage
Revenue Cycle Director
(573) 359-3498

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 1992807390

Pemiscot County Memorial Hospital's National Provider Identifier is 1992807390, issued on Sep 5, 2006. The primary taxonomy on file is Rural Health Clinic/Center (261QR1300X), and the practice location is in Kennett, MO. The record was last updated on Aug 7, 2024.