Active NPI
Lincoln County Memorial Hospital
- Rural Health Clinic/Center
- Troy, MO
National Provider Identifier
1194731539
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Rural Health Clinic/Center
- Legal business name
- LINCOLN COUNTY MEMORIAL HOSPITAL
- Doing business as
- Troy Medical Group
- Practice address
- 900 E Cherry St
Troy, MO 63379-1429 - Phone
- (636) 528-8585
- Fax
- (636) 528-8430
- NPI assigned
- Jul 31, 2006
- Organization subpart
- No
NPPES NPI Registry
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Rural Health Clinic/Center | 261QR1300X | Primary |
Addresses
Primary practice location
900 E Cherry St
Troy, MO 63379-1429
Mailing address
900 E Cherry St
Troy, MO 63379-1429
Phone (636) 528-8585
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 500419809 | Medicaid | MO | |
| 590419800 | Medicaid | MO |
Other names 1
- Troy Medical Group
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1154304000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1414368000000",
"number": "1194731539",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "900 E CHERRY ST",
"city": "TROY",
"state": "MO",
"postal_code": "633791429",
"telephone_number": "636-528-8585",
"fax_number": "636-528-8430"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "900 E CHERRY ST",
"city": "TROY",
"state": "MO",
"postal_code": "633791429",
"telephone_number": "636-528-8585",
"fax_number": "636-528-8430"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "LINCOLN COUNTY MEMORIAL HOSPITAL",
"organizational_subpart": "NO",
"enumeration_date": "2006-07-31",
"last_updated": "2014-10-27",
"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": "500419809",
"state": "MO"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "590419800",
"state": "MO"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Troy Medical Group",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Troy, MO
- Lincoln County Chiropractic LLC
- Lincoln County Health Department
- Lincoln County Medicine & Pediatrics, LLC
- Lincoln County Memorial Hospital
- Lincoln County Memorial Hospital
- Lincoln County Memorial Hospital
- Lincoln County Memorial Hospital
- Lincoln County Memorial Hospital
- Lincoln County Memorial Hospital
- Lincoln County Memorial Hospital
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 27, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.