Cooper County Memorial Hospital

Primary specialty

Rural Health Clinic/CenterTaxonomy code 261QR1300X

Legal business name

COOPER COUNTY MEMORIAL HOSPITAL

Doing business as

CCMH Family Health Glasgow

Practice address

108 Market St
Glasgow, MO 65254-1053

Phone

(660) 338-2233

Fax

(660) 338-2817

NPI assigned

May 2, 2013

Last updated

Jul 22, 2014By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Danielle Gearhart

Title

Ceo

Phone

(660) 882-7461

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• CCMH Family Health Glasgow Doing business as

Locations

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

{
    "created_epoch": "1367452800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1405987200000",
    "number": "1811332935",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17651 B HWY",
            "address_2": "P O BOX 88",
            "city": "BOONVILLE",
            "state": "MO",
            "postal_code": "652332839",
            "telephone_number": "660-882-7461",
            "fax_number": "660-882-6093"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "108 MARKET ST",
            "city": "GLASGOW",
            "state": "MO",
            "postal_code": "652541053",
            "telephone_number": "660-338-2233",
            "fax_number": "660-338-2817"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COOPER COUNTY MEMORIAL HOSPITAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-05-02",
        "last_updated": "2014-07-22",
        "status": "A",
        "authorized_official_last_name": "GEARHART",
        "authorized_official_first_name": "DANIELLE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "660-882-7461"
    },
    "taxonomies": [
        {
            "code": "261QR1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rural Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1811332935",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "CCMH Family Health Glasgow",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Jennifer Leigh Barringhaus, M.S. CCC-SLP
• Chariton Health Systems Inc (Community Medical Equipment)
• Essential Life, LLC
• Melinda Carol Hart, FNP
• Henderson Drug Store,LLC
• David William Henderson, RPH
• Howard County School District R-II

• Rural Health Clinic/Center in Glasgow, MO
• Providers in Glasgow, MO by specialty
• Rural Health Clinic/Center in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 22, 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.

Verify at the official NPI Registry.