Organization Active NPI

Lincoln County Memorial Hospital

Doing business as Lincoln County Medical Center Home Care

  • Home Health Agency
  • Troy, MO
National Provider Identifier
1073521910
Registry record updated Dec 11, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
LINCOLN COUNTY MEMORIAL HOSPITAL
Doing business as
Lincoln County Medical Center Home Care
Practice address
1005 East Cherry Street
Troy, MO 63379
Phone
(636) 528-3470
Fax
(636) 528-3456
NPI assigned
Aug 4, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 11, 2014

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mark A. Thorn
Title
Chief Financial Officer
Phone
(636) 528-3329

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X 19121 MO
Home Health Agency 251E00000X Primary

Addresses

Primary practice location

1005 East Cherry Street
Troy, MO 63379

Mailing address

1000 E Cherry St
Troy, MO 63379-1513
Phone (636) 528-3470

Other identifiers 1

IdentifierTypeStateIssuer
580419802MedicaidMO

Other names 1

  • Lincoln County Medical Center Home Care Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Sleep Medicine and Research5 organizations share this tax ID, including this one

Other organizations with this tax ID 4

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1154649600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1418256000000",
    "number": "1073521910",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1000 E CHERRY ST",
            "city": "TROY",
            "state": "MO",
            "postal_code": "633791513",
            "telephone_number": "636-528-3470",
            "fax_number": "636-528-3456"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1005 EAST CHERRY STREET",
            "city": "TROY",
            "state": "MO",
            "postal_code": "63379",
            "telephone_number": "636-528-3470",
            "fax_number": "636-528-3456"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LINCOLN COUNTY MEMORIAL HOSPITAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-04",
        "last_updated": "2014-12-11",
        "status": "A",
        "authorized_official_last_name": "THORN",
        "authorized_official_first_name": "MARK",
        "authorized_official_middle_name": "A.",
        "authorized_official_title_or_position": "CHIEF FINANCIAL OFFICER",
        "authorized_official_telephone_number": "636-528-3329"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "MO",
            "license": "19121",
            "primary": false
        },
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "580419802",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Lincoln County Medical Center Home Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Troy, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 11, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.