NPIMap

Organization Active NPI

Texas County Memorial Hospital

Doing business as TCMH Internal Medicine Associates

  • Multi-Specialty Clinic/Center
  • Houston, MO
National Provider Identifier
1306885587
Registry record updated Mar 14, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Multi-Specialty Clinic/CenterTaxonomy code 261QM1300X
Legal business name
TEXAS COUNTY MEMORIAL HOSPITAL
Doing business as
TCMH Internal Medicine Associates
Practice address
1337 S Sam Houston Blvd
Houston, MO 65483-2046
Phone
(417) 967-5435
Fax
(417) 967-5503
NPI assigned
Jun 5, 2006
Last updated
Mar 14, 2017By the provider in NPPES
Organization subpart
Yes
Parent organization
TEXAS COUNTY MEMORIAL HOSPITALAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Mar 14, 2017

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

Authorized official

Name
Mrs. Linda J. Pamperien
Title
Chief Financial Officer
Phone
(417) 967-3311

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Multi-Specialty Clinic/Center 261QM1300X NU Primary

Addresses

Primary practice location

1337 S Sam Houston Blvd
Houston, MO 65483-2046

Mailing address

1337 S Sam Houston Blvd
Houston, MO 65483-2046
Phone (417) 967-5435

Other identifiers 3

IdentifierTypeStateIssuer
507780302MedicaidMO
C43492OtherMORR MEDICARE
26D0889777OtherMOCLIA

Other names 1

  • TCMH Internal Medicine Associates Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040325000339 MO Part B Supplier - Clinic/Group Practice 9436041696 Receives reassigned benefits from 25 practitioners
1 other NPI on this enrollment
Practice locations: Houston, MO

Other NPIs with the same Medicare PAC ID 14

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

View all 14

National Provider Directory

National Provider Directory
Part of
Texas County Memorial HSP

Locations

1422 S Sam Houston Blvd
#C
Houston, MO 65483
Phone (417) 967-4445

139 W Highway 32
Licking, MO 65542
Phone (573) 674-3011

Ownership & related parties

All facility ownership & control disclosures 8

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Texas County Memorial HospitalHouston, MO, CCN 260024 Hospital 5% Or Greater Direct Ownership Interest (100%) Dec 1, 1983
Texas County Memorial Hospital Swing BedHouston, MO, CCN 26U024 Hospital 5% Or Greater Direct Ownership Interest (100%) Jan 8, 2015
Home Health of the OzarksHouston, MO, CCN 267185 Home health agency 5% Or Greater Direct Ownership Interest (100%)
Operational/Managerial Control (100%)		 Mar 8, 1984
Mar 8, 1984
Hospice of CareHouston, MO, CCN 261501 Hospice 5% Or Greater Direct Ownership Interest (100%) Dec 1, 1983
TCMH Cabool Medical ClinicCabool, MO, CCN 268603 Rural health clinic 5% Or Greater Direct Ownership Interest (100%)
Operational/Managerial Control (100%)		 Sep 7, 2005
Sep 7, 2005
TCMH Family Clinic - LickingLicking, MO, CCN 268630 Rural health clinic 5% Or Greater Direct Ownership Interest (100%) Nov 1, 1991
TCMH Mountain Grove ClinicMountain Grove, MO, CCN 268653 Rural health clinic 5% Or Greater Direct Ownership Interest (100%)
Operational/Managerial Control (100%)		 Apr 19, 2010
Feb 12, 2014
TCMH Internal MedicineHouston, MO, CCN 268535 Rural health clinic 5% Or Greater Direct Ownership Interest (100%)
Operational/Managerial Control (100%)		 Nov 14, 2001
Nov 14, 2001

Owned or controlled facilities with NPI records 8

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Practitioners & affiliated clinicians

Practitioners 72

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 72

NPI Registry JSON

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

{
    "created_epoch": "1149465600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1489449600000",
    "number": "1306885587",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1337 S SAM HOUSTON BLVD",
            "city": "HOUSTON",
            "state": "MO",
            "postal_code": "654832046",
            "telephone_number": "417-967-5435",
            "fax_number": "417-967-5503"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1337 S SAM HOUSTON BLVD",
            "city": "HOUSTON",
            "state": "MO",
            "postal_code": "654832046",
            "telephone_number": "417-967-5435",
            "fax_number": "417-967-5503"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TEXAS COUNTY MEMORIAL HOSPITAL",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "TEXAS COUNTY MEMORIAL HOSPITAL",
        "enumeration_date": "2006-06-05",
        "last_updated": "2017-03-14",
        "status": "A",
        "authorized_official_last_name": "PAMPERIEN",
        "authorized_official_first_name": "LINDA",
        "authorized_official_middle_name": "J.",
        "authorized_official_title_or_position": "CHIEF FINANCIAL OFFICER",
        "authorized_official_telephone_number": "417-967-3311",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "507780302",
            "state": "MO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE",
            "identifier": "C43492",
            "state": "MO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CLIA",
            "identifier": "26D0889777",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "TCMH Internal Medicine Associates",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Houston, MO

Sources for this page

Verify at the official NPI Registry.