Pemiscot County Memorial Hospital

Organization Active NPI Rural Health Clinic/Center · Gideon, MO

NPI 1124518451 · NPPES record last updated Jul 19, 2018

Key facts

NPI
1124518451
Entity type
Organization (NPI type 2)
Primary specialty
Rural Health Clinic/Center 261QR1300X
Legal business name
PEMISCOT COUNTY MEMORIAL HOSPITAL
Practice address
100 S Main Street
Gideon, MO 63848
Phone
(573) 448-3800
Fax
(573) 448-8909
NPI assigned
May 11, 2018
Organization subpart
No

Authorized official

Name
James Marshall
Title
Cfo
Phone
(573) 359-3612

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

National Provider Directory

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Rural Health Clinic/Center 261QR1300X Yes

Addresses

Primary practice location

100 S Main Street
Gideon, MO 63848

Mailing address

PO Box 489
Hayti, MO 63851-0489

Other names

  • Gideon Family Rural Health Clinic Other name

Other providers in Gideon, MO

All providers in Gideon, MO · Rural Health Clinic/Center in Missouri

Sources for this page

Verify at the official NPI Registry.