Texas County Memorial Hospital
Organization Active NPI General Acute Care Hospital · Houston, MO
NPI 1790740363 · NPPES record last updated Dec 16, 2022
Key facts
- NPI
- 1790740363
- Entity type
- Organization (NPI type 2)
- Primary specialty
- General Acute Care Hospital 282N00000X
- License
- 17248 (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
- Organization subpart
- No
Authorized official
- Name
- Mrs. Linda J Pamperien
- Title
- Chief Financial Officer
- Phone
- (417) 967-3311
Owners & managing parties with NPI records 14
Owned or controlled facilities with NPI records 7
Other NPIs on the same Medicare enrollment 1
Other NPIs with the same Medicare PAC ID 14
Related certifications (CCN) 5
Facilities with the same owner 7
Practitioners 135
-
Brian Wilson Adkison, D.O.
-
Andrew T. Dean, CRNA
-
Stephen L Hawkins, M.D.
-
Juan F Mella, M.D.
-
James B Rice III, MD
-
Amit Shah, MD
-
William Edward Smart Jr., CRNA
-
Charles Scott Rasmussen, D.O.
-
Bryan Scott Shearer, M.D.
-
Akeeb Adedokun, MD
-
Adegoke Olaolu Adeleke I, M.D., M.S.M
-
Shamim Amini, MD
-
Desh V Anand, MD
-
Jacob Lee Baalman, M.D.
-
Adam Harty Beckett, D.O.
-
Christy Marie Brewer, CRNA
-
Douglas A Crase, MD
Affiliated clinicians 131
-
Nurelign G. Abebe, M.D.
-
Brian Wilson Adkison, D.O.
-
Omar Samir Al-Taweel, MBBS
-
Tommi Jean Alcorn, FNP
-
Sharon R Anderson, DPM
-
Christopher O Baldwin, M.D.
-
Steven R Ballard, ANP
-
Mahmoud Ballout, MD
-
Sharad Bansal, MD
-
David O. Barbe, MD
-
Caitlyn Micah Barry, FNP
-
Jimmy D Bell, NP
-
Christy Lin Bramwell, FNP
-
Mark Allen Brown, P.A.
-
Raymond E. Bruno, FNP
-
Troy Henry Caron, DO
Medicare Care Compare: Hospital
- Listed as
- Texas County Memorial Hospital
- Overall star rating
- ★★☆☆☆ 2 of 5
- Type
- Acute Care Hospitals
- Ownership
- Government - Local
- Medicare certification status
- Active
- Emergency services
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (3 enrollments) in MO
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
- Government · Non-profit
- Enrollment address
- 1333 S Sam Houston Blvd
Houston, MO 65483-2046 - Hospital subgroups
- General, Acute care, Swing-bed approved
All disclosed owners & managing parties 8
| Name | Role | Since | Share |
|---|---|---|---|
| Linda J Pamperien |
Corporate Officer |
Nov 4, 1996 | |
| W-2 Managing Employee |
Nov 4, 1996 | ||
| Allan Branstetter |
Corporate Director |
Apr 1, 2019 | |
| Jay Loveland |
Corporate Director |
Mar 1, 2017 | |
| Joleen Durham |
Corporate Director |
Apr 6, 2021 | |
| Steve Pierce |
Corporate Director |
Jun 2, 2020 | |
| William Bridges |
Corporate Officer |
Jul 14, 2022 | |
| W-2 Managing Employee |
Jul 14, 2022 | ||
| James R Perry |
Corporate Director |
Jan 27, 2012 | |
| Texas County Memorial Hospital |
5% Or Greater Direct Ownership Interest | Dec 1, 1983 | 100% |
All facility ownership & control disclosures 7
| Facility | Type | Role | Since |
|---|---|---|---|
| Texas County Memorial Hospital Swing Bed |
Hospital | 5% Or Greater Direct Ownership Interest (100%) | Jan 8, 2015 |
| Home Health of the Ozarks |
Home health agency | 5% Or Greater Direct Ownership Interest (100%) Operational/Managerial Control (100%) |
Mar 8, 1984 Mar 8, 1984 |
| Hospice of Care |
Hospice | 5% Or Greater Direct Ownership Interest (100%) | Dec 1, 1983 |
| TCMH Cabool Medical Clinic |
Rural health clinic | 5% Or Greater Direct Ownership Interest (100%) Operational/Managerial Control (100%) |
Sep 7, 2005 Sep 7, 2005 |
| TCMH Family Clinic - Licking |
Rural health clinic | 5% Or Greater Direct Ownership Interest (100%) | Nov 1, 1991 |
| TCMH Mountain Grove Clinic |
Rural health clinic | 5% Or Greater Direct Ownership Interest (100%) Operational/Managerial Control (100%) |
Apr 19, 2010 Feb 12, 2014 |
| TCMH Internal Medicine |
Rural health clinic | 5% Or Greater Direct Ownership Interest (100%) Operational/Managerial Control (100%) |
Nov 14, 2001 Nov 14, 2001 |
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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 |
National Provider Directory
Locations
501 Main St
Cabool, MO 65689
1337 S Sam Houston Blvd
Ste 300
Houston, MO 65483
Phone (417) 967-5435
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emergency Medicine Physician |
207P00000X | |||
| Family Medicine Physician |
207Q00000X | |||
| Pulmonary Disease Physician |
207RP1001X | |||
| Hospitalist Physician |
208M00000X | |||
| General Acute Care Hospital | 282N00000X | 17248 | MO | Yes |
| Land Ambulance | 3416L0300X | |||
| Certified Registered Nurse Anesthetist |
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
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 26D0446923 | Other | CLIA | |
| 800156507 | Medicaid | MO | |
| 010156503 | Medicaid | MO | |
| 540156502 | Medicaid | MO | |
| 500116526 | Medicaid | MO |
Other providers in Houston, MO
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All providers in Houston, MO · General Acute Care Hospital in Missouri
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 16, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- CMS facility enrollments, All Owners and change-of-ownership files: CCNs, owners and managing parties.
- Provider of Services files (CMS): certification status, beds and related CCNs.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.