Texas County Memorial Hospital
Organization Active NPI Home Health Agency · Houston, MO
NPI 1114112588 · NPPES record last updated Jan 15, 2020
Key facts
- NPI
- 1114112588
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Home Health Agency 251E00000X
- License
- 101-21 (MO)
- Legal business name
- TEXAS COUNTY MEMORIAL HOSPITAL
- Practice address
- 1422 S Sam Houston Blvd Ste 200
Houston, MO 65483-2130 - Phone
- (417) 967-1240
- Fax
- (417) 967-2360
- NPI assigned
- Sep 10, 2007
- Organization subpart
- Yes
- Parent organization (as reported)
- TEXAS COUNTY MEMORIAL HOSPITAL
Authorized official
- Name
- Mrs. Linda J Pamperien
- Title
- Cfo
- Phone
- (417) 967-1255
Corporate family (same tax ID) 15
National Provider Directory
- Tax ID family
- TCMH Family Care Clinic
- Part of
- TCMH Family Care Clinic
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Agency | 251E00000X | 101-21 | MO | Yes |
Addresses
Primary practice location
1422 S Sam Houston Blvd Ste 200
Houston, MO 65483-2130
Mailing address
1333 S Sam Houston Blvd
Houston, MO 65483-2046
Phone (417) 967-1240
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 580156503 | Medicaid | MO | |
| 284019700 | Medicaid | MO | |
| 26D0446916 | Other | MO | CLIA |
| 264019704 | Medicaid | MO | |
| 30113 | Other | MO | BLUE CROSS |
Other names
- Home Health of the Ozarks
Other providers in Houston, MO
- Super D Drugs Acquisition Co.
- Jennifer Sue Terrill
- Texas County Health Department
- Texas County Memorial Hospital
- Texas County Memorial Hospital
- Texas County Memorial Hospital
- Texas County Memorial Hospital
- Texas County Memorial Hospital
- Texas County Memorial Hospital
- Texas County Memorial Hospital
All providers in Houston, MO · Home Health Agency in Missouri
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 15, 2020. 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.