Pike County Memorial Hospital
Organization Active NPI Family Medicine Physician · Vandalia, MO
NPI 1891201331 · NPPES record last updated Dec 20, 2017
Key facts
- NPI
- 1891201331
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Family Medicine Physician 207Q00000X
- Legal business name
- PIKE COUNTY MEMORIAL HOSPITAL
- Practice address
- 425 N Galloway Rd
Vandalia, MO 63382-1259 - Phone
- (573) 594-2111
- NPI assigned
- Dec 20, 2017
- Organization subpart
- No
Authorized official
- Name
- Justin Selle
- Title
- Ceo
- Phone
- (573) 754-5531
Corporate family (same tax ID) 7
National Provider Directory
- Tax ID family
- Pike County Memorial Ho
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician |
207Q00000X | Yes |
Addresses
Primary practice location
425 N Galloway Rd
Vandalia, MO 63382-1259
Mailing address
2305 Georgia St
Louisiana, MO 63353-2559
Phone (573) 754-5531
Other names
- PCMH Clinic
Other providers in Vandalia, MO
- Linda Kendrick
- Alexandria McCandless
- Katlyn Renee Meyers
- Niemann Foods Inc
- Pike County Memorial Hospital
- Patricia Sue Rose-Liana
- Joseph Salois
- Teresa L Stice
- The Baptist Home
- The Baptist Homes
All providers in Vandalia, MO · Family Medicine Physician 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 20, 2017. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.