NPIMap

Organization Active NPI

Texas County Memorial Hospital

  • General Acute Care Hospital
  • Houston, MO
National Provider Identifier
1790740363
Registry record updated Dec 16, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Acute Care HospitalTaxonomy code 282N00000X
License
17248 Issued in MO
Legal business name
TEXAS COUNTY MEMORIAL HOSPITAL
Practice address
1333 S Sam Houston Blvd
Houston, MO 65483-2046
Phone
(417) 967-3311
Fax
(417) 967-1234
NPI assigned
Apr 18, 2006
Last updated
Dec 16, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 16, 2022

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 7

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207P00000X
Family Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207Q00000X
Pulmonary Disease PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207RP1001X
Hospitalist PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208M00000X
General Acute Care Hospital 282N00000X 17248 MO Primary
Land Ambulance 3416L0300X
Certified Registered Nurse AnesthetistGroup: 193200000X MULTI-SPECIALTY GROUP 367500000X

Addresses

Primary practice location

1333 S Sam Houston Blvd
Houston, MO 65483-2046

Mailing address

1333 S Sam Houston Blvd
Houston, MO 65483
Phone (417) 967-3311

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO3 enrollments

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
O20040401000307 MO Part B Supplier - Clinic/Group Practice 9436041696 Receives reassigned benefits from 102 practitioners
Practice locations: Houston, MO
O20041220000543 MO Part B Supplier - Clinic/Group Practice 9436041696 Receives reassigned benefits from 9 practitioners
Practice locations: Houston, MO
O20071120000391 MO Part A Provider - Hospital 9436041696 1 other NPI on this enrollment
Practice locations: Houston, MO

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1790740363. Details of each certification follow.

Hospital certification: CCN 260024

Legal name
TEXAS COUNTY MEMORIAL HOSPITAL
Doing business as
TEXAS COUNTY MEMORIAL HOSPITAL
Certification status
Active
Provider type (POS)
Hospital – Short-term
Participating since
Jul 1, 1966
Last certification
Jul 9, 2025
Beds
66
Ownership / control type
Local
Organization structure
GovernmentNon-profit
Enrollment address
1333 S Sam Houston Blvd
Houston, MO 65483-2046
Main/Primary Hospital Location
Hospital subgroups
General, Acute care, Swing-bed approved

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

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

Care Compare: Hospital

Medicare Care Compare
Listed as
Texas County Memorial HospitalCCN 260024 · All quality measures
Overall star rating
2 of 5
Type
Acute Care Hospitals
Ownership
Government - Local
Medicare certification status
ActiveFrom the Provider of Services file
Emergency services
Yes

National Provider Directory

National Provider Directory

Locations

501 Main St
Cabool, MO 65689

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

1337 S Sam Houston Blvd
Ste 300
Houston, MO 65483
Phone (417) 967-5435

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

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 Nov 4, 1996
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 Non-profit 5% Or Greater Direct Ownership Interest Dec 1, 1983 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 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 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 122

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 122

Affiliated clinicians 131

Clinicians who list this facility as an affiliation in Medicare Care Compare.

View all 131

NPI Registry JSON

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

{
    "created_epoch": "1145318400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1671148800000",
    "number": "1790740363",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1333 S SAM HOUSTON BLVD",
            "city": "HOUSTON",
            "state": "MO",
            "postal_code": "65483",
            "telephone_number": "417-967-3311",
            "fax_number": "417-967-1234"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1333 S SAM HOUSTON BLVD",
            "city": "HOUSTON",
            "state": "MO",
            "postal_code": "654832046",
            "telephone_number": "417-967-3311",
            "fax_number": "417-967-1234"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TEXAS COUNTY MEMORIAL HOSPITAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-04-18",
        "last_updated": "2022-12-16",
        "certification_date": "2022-12-16",
        "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": "207P00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Emergency Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207RP1001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "208M00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Hospitalist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "282N00000X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital",
            "state": "MO",
            "license": "17248",
            "primary": true
        },
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "367500000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Houston, MO

Sources for this page

Verify at the official NPI Registry.