NPIMap

Organization Active NPI

Texas County Memorial Hospital

Doing business as TCMH Internal Medicine

  • Rural Health Clinic/Center
  • Houston, MO
National Provider Identifier
1710004486
Registry record updated Oct 11, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rural Health Clinic/CenterTaxonomy code 261QR1300X
Legal business name
TEXAS COUNTY MEMORIAL HOSPITAL
Doing business as
TCMH Internal Medicine
Practice address
1337 S Sam Houston Blvd
Suite 200
Houston, MO 65483-2046
Phone
(417) 967-5435
Fax
(417) 967-5503
NPI assigned
Mar 26, 2007
Last updated
Oct 11, 2011By the provider in NPPES
Organization subpart
Yes
Parent organization
TEXAS COUNTY MEMORIAL HOSPITALAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Oct 11, 2011

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
Rural Health Clinic/Center 261QR1300X NU Primary

Addresses

Primary practice location

1337 S Sam Houston Blvd
Suite 200
Houston, MO 65483-2046

Mailing address

1337 S Sam Houston Blvd
Suite 200
Houston, MO 65483-2046
Phone (417) 967-5435

Other identifiers 2

IdentifierTypeStateIssuer
597780303MedicaidMO
26D0889777OtherMOCLIA

Other names 1

  • TCMH Internal Medicine Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20111010000546 MO Part A Provider - Rural Health Clinic 9436041696 Practice locations: Houston, MO

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1710004486. Details of each certification follow.

Rural health clinic certification: CCN 268535

Legal name
TEXAS COUNTY MEMORIAL HOSPITAL
Doing business as
TCMH INTERNAL MEDICINE
Certification status
Active
Provider type (POS)
Rural health clinic
Participating since
Nov 14, 2001
Last certification
Jan 27, 2026
Ownership / control type
Non-profit – church related
Organization structure
GovernmentNon-profit
Enrollment address
1337 S Sam Houston Blvd
Houston, MO 65483-2046
Related CCNs
260024

Facilities connected through Provider of Services related, parent or unit certification numbers.

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
Tax ID family
Texas County Memorial HSP16 organizations share this tax ID, including this one
Part of
Texas County Memorial HSP

Other organizations with this tax ID 15

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

View all 15

Locations

1337 S Sam Houston Blvd
Ste 200
Houston, MO 65483
Phone (417) 967-3662

Ownership & related parties

All disclosed owners & managing parties 8

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Linda J Pamperien Individual Corporate OfficerCfo Nov 4, 1996
W-2 Managing EmployeeCfo Aug 24, 2011
Allan Branstetter Individual Corporate DirectorBoard Member Apr 1, 2019
Jay Loveland Individual Corporate DirectorBoard Member Mar 1, 2017
Joleen Durham Individual Corporate DirectorBoard Member Apr 6, 2021
Steve Pierce Individual Corporate DirectorBoard Member Jun 2, 2020
William Bridges Individual Corporate OfficerLeadership Team Jul 14, 2022
W-2 Managing EmployeeLeadership Team Jul 14, 2022
James R Perry Individual Corporate DirectorBoard Member Jan 27, 2012
Texas County Memorial Hospital Organization, Houston, MO 5% Or Greater Direct Ownership Interest Nov 14, 2001 100%
Operational/Managerial Control Nov 14, 2001 100%

Owners & managing parties with NPI records 14

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

View all 14

All facility ownership & control disclosures 7

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

Owned or controlled facilities with NPI records 7

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

Facilities with the same owner 7

Facilities that share an organizational owner with 5% or greater ownership or operational control.

Practitioners & affiliated clinicians

Practitioners 30

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 30

NPI Registry JSON

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

{
    "created_epoch": "1174867200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1318291200000",
    "number": "1710004486",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1337 S SAM HOUSTON BLVD",
            "address_2": "SUITE 200",
            "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",
            "address_2": "SUITE 200",
            "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": "2007-03-26",
        "last_updated": "2011-10-11",
        "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": "261QR1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rural Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "597780303",
            "state": "MO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CLIA",
            "identifier": "26D0889777",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "TCMH Internal Medicine",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Houston, MO

Sources for this page

Verify at the official NPI Registry.