Texas County Memorial Hospital
Organization Active NPI Community/Retail Pharmacy · Houston, MO
NPI 1164587770 · NPPES record last updated Nov 22, 2019
Key facts
- NPI
- 1164587770
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Community/Retail Pharmacy 3336C0003X
- License
- 2012026256 (MO)
- Legal business name
- TEXAS COUNTY MEMORIAL HOSPITAL
- Practice address
- 1422 S Sam Houston Blvd Ste 100
Houston, MO 65483 - Phone
- (417) 967-4139
- Fax
- (417) 967-4130
- NPI assigned
- Dec 26, 2006
- Organization subpart
- No
Authorized official
- Name
- Wesley Murray
- Title
- Ceo
- Phone
- (417) 967-3311
Corporate family (same tax ID) 15
Practitioners 1
-
Steven Charles Hutcheson, PHARMACIST
National Provider Directory
- Tax ID family
- TCMH Family Care Clinic
Locations
1422 S Sam Houston Blvd
Ste 100
Houston, MO 65483
Phone (417) 967-4139
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacy | 333600000X | |||
| Community/Retail Pharmacy | 3336C0003X | 2012026256 | MO | Yes |
Addresses
Primary practice location
1422 S Sam Houston Blvd Ste 100
Houston, MO 65483
Mailing address
1422 S Sam Houston Blvd Ste 100
Houston, MO 65483-2130
Phone (417) 967-4139
Other practice location 1
1330 S Hwy 63
Houston, MO 65483-2045
Phone (417) 967-4139
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 600059109 | Medicaid | MO | |
| 2614700 | Other | MO | NCPDP |
| 2136307 | Other | PK |
Other names
- HUTCHESON PHARMACY
Other providers in Houston, MO
- 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
- Texas County Memorial Hospital
All providers in Houston, MO · Community/Retail Pharmacy in Missouri
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 22, 2019. 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.