Barton County Memorial Hospital
Organization Active NPI Family Medicine Physician · Lamar, MO
NPI 1104129733 · NPPES record last updated Mar 22, 2011
Key facts
- NPI
- 1104129733
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Family Medicine Physician 207Q00000X
- License
- R8N54 (MO)
- Legal business name
- BARTON COUNTY MEMORIAL HOSPITAL
- Practice address
- 102 W 2ND St
Lamar, MO 64759-1029 - Phone
- (417) 681-0214
- Fax
- (417) 681-0136
- NPI assigned
- Dec 21, 2010
- Organization subpart
- Yes
- Parent organization (as reported)
- BARTON COUNTY MEMORIAL HOSPITAL
Authorized official
- Name
- Ms. TJ Allen
- Title
- Clinic Business Coordinator
- Phone
- (417) 681-0214
Practitioners 1
-
Debra Jean Johnson, FNP-C
National Provider Directory
- Part of
- Barton County Memorial
Locations
102 W 2nd St
Lamar, MO 64759
Phone (417) 681-0214
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician |
207Q00000X | R8N54 | MO | Yes |
| Surgery Physician |
208600000X |
Addresses
Primary practice location
102 W 2ND St
Lamar, MO 64759-1029
Mailing address
102 W 2ND St
Lamar, MO 64759-1029
Phone (417) 681-0214
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1235169723 | Other | JOSEPH F WILSON, JR, DO | |
| 1104129733 | Medicaid | MO | |
| 000050010 | Other | MO | MEDICARE GROUP NUMBER |
| 1083614291 | Other | DAVID E BROWN DO |
Other names
- Medical One Satellite Clinic
Other providers in Lamar, MO
- Hayden J Bartholomew
- Barton County Ambulance District
- Barton County Health Department
- Barton County Health Department
- Barton County Learning Center for Exceptional Children, Inc.
- Barton County Memorial Hospital
- Barton County Memorial Hospital
- Barton County Memorial Hospital
- Barton County Memorial Hospital
- Barton County Memorial Hospital
All providers in Lamar, MO · Family Medicine Physician in Missouri
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 22, 2011. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.