NPIMap

Organization Active NPI

Lincoln County Memorial Hospital

  • Rural Health Clinic/Center
  • Troy, MO
National Provider Identifier
1184648271
Registry record updated Jul 11, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rural Health Clinic/CenterTaxonomy code 261QR1300X
Legal business name
LINCOLN COUNTY MEMORIAL HOSPITAL
Doing business as
Troy Family Practice
Practice address
1003 E Cherry St
Troy, MO 63379-1503
Phone
(636) 528-6755
Fax
(636) 528-6965
NPI assigned
Jul 26, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 11, 2011

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

Authorized official

Name
Mr. Patrick G Bira
Title
Ceo
Phone
(636) 528-8551

Specialties & licenses 1

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

Addresses

Primary practice location

1003 E Cherry St
Troy, MO 63379-1503

Mailing address

PO Box 249
Troy, MO 63379-0249
Phone (636) 528-6755

Other identifiers 1

IdentifierTypeStateIssuer
598223808MedicaidMO

Other names 1

  • Troy Family Practice Doing business as

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
26D0441337Troy Family Practice1003 E Cherry St, Troy, MO 63379Certificate of waiverJun 14, 2027

National Provider Directory

National Provider Directory
Tax ID family
Mercy Hospital Lincoln10 organizations share this tax ID, including this one

Other organizations with this tax ID 9

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

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1153872000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1310342400000",
    "number": "1184648271",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 249",
            "city": "TROY",
            "state": "MO",
            "postal_code": "633790249",
            "telephone_number": "636-528-6755",
            "fax_number": "636-528-6965"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1003 E CHERRY ST",
            "city": "TROY",
            "state": "MO",
            "postal_code": "633791503",
            "telephone_number": "636-528-6755",
            "fax_number": "636-528-6965"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LINCOLN COUNTY MEMORIAL HOSPITAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-26",
        "last_updated": "2011-07-11",
        "status": "A",
        "authorized_official_last_name": "BIRA",
        "authorized_official_first_name": "PATRICK",
        "authorized_official_middle_name": "G",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "636-528-8551",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QR1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rural Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "598223808",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Troy Family Practice",
            "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 Jul 11, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.