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Texas County Memorial Hospital

Organization Active NPI Rural Health Clinic/Center · Cabool, MO

NPI 1962529644 · NPPES record last updated Jul 17, 2009

Key facts

NPI
1962529644
Entity type
Organization (NPI type 2)
Primary specialty
Rural Health Clinic/Center 261QR1300X
Legal business name
TEXAS COUNTY MEMORIAL HOSPITAL
Practice address
500 Main Street
Cabool, MO 65689
Phone
(417) 962-3015
Fax
(417) 962-5938
NPI assigned
Mar 26, 2007
Organization subpart
Yes
Parent organization (as reported)
TEXAS COUNTY MEMORIAL HOSPITAL

Authorized official

Name
Mrs. Linda J. Pamperien
Title
Chief Financial Officer
Phone
(417) 967-3311

Owners & managing parties with NPI records 14

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

Owned or controlled facilities with NPI records 7

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

Other NPIs with the same Medicare PAC ID 14

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Corporate family (same tax ID) 15

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

Member organizations 1

Organizations listed as members of this organization in the National Provider Directory.

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

Facilities with the same owner 7

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

Practitioners 34

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

View all 34

Medicare participation

Medicare fee-for-service enrollment
Enrolled in MO

Rural health clinic certification: CCN 268603

Legal name
TEXAS COUNTY MEMORIAL HOSPITAL
Doing business as
TCMH CABOOL MEDICAL CLINIC
Certification status
Active
Provider type (POS)
Rural health clinic
Participating since
Sep 5, 2005
Last certification
Jul 14, 2021
Ownership / control type
Non-profit – church related
Most recent change of ownership
Sep 6, 2005 (1 total)
Organization structure
Government · Non-profit
Enrollment address
500 Main St
Cabool, MO 65689-8104
Related CCNs
260024

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 Officer
Cfo		 Nov 4, 1996
W-2 Managing Employee
Cfo		 Jul 19, 2013
Allan Branstetter
Individual 		Corporate Director
Board Member		 Sep 23, 2022
Jay Loveland
Individual 		Corporate Director
Board Member		 Mar 1, 2017
Joleen Durham
Individual 		Corporate Director
Board Member		 Apr 6, 2021
Steve Pierce
Individual 		Corporate Director
Board Member		 Jun 2, 2020
William Bridges
Individual 		Corporate Officer
Leadership Team Authorized Signe		 Jul 14, 2022
W-2 Managing Employee
Leadership Team Authorized Signe		 Jul 14, 2022
James R Perry
Individual 		Corporate Director
Board Member		 Jan 27, 2012
Texas County Memorial Hospital
Organization · Houston, MO 		5% Or Greater Direct Ownership Interest Sep 7, 2005 100%
Operational/Managerial Control Sep 7, 2005 100%

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
Houston, MO · CCN 260024		 Hospital 5% Or Greater Direct Ownership Interest (100%) Dec 1, 1983
Texas County Memorial Hospital Swing Bed
Houston, MO · CCN 26U024		 Hospital 5% Or Greater Direct Ownership Interest (100%) Jan 8, 2015
Home Health of the Ozarks
Houston, 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 Care
Houston, MO · CCN 261501		 Hospice 5% Or Greater Direct Ownership Interest (100%) Dec 1, 1983
TCMH Family Clinic - Licking
Licking, MO · CCN 268630		 Rural health clinic 5% Or Greater Direct Ownership Interest (100%) Nov 1, 1991
TCMH Mountain Grove Clinic
Mountain 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 Medicine
Houston, MO · CCN 268535		 Rural health clinic 5% Or Greater Direct Ownership Interest (100%)
Operational/Managerial Control (100%)		 Nov 14, 2001
Nov 14, 2001

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
O20071120000588 MO Part a Provider - Rural Health Clinic 9436041696 Practice locations: Cabool, MO

National Provider Directory

Tax ID family
TCMH Family Care Clinic (16 organizations share this tax ID)
Part of
TCMH Family Care Clinic

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Rural Health Clinic/Center 261QR1300X Yes

Addresses

Primary practice location

500 Main Street
Cabool, MO 65689

Mailing address

500 Main Street
PO Box 380
Cabool, MO 65689
Phone (417) 962-3015

Other identifiers

IdentifierTypeStateIssuer
597943901MedicaidMO
26D0859759OtherMOCLIA

Other names

  • TCMH Cabool Medical Clinic Doing business as

Other providers in Cabool, MO

All providers in Cabool, MO · Rural Health Clinic/Center in Missouri

Sources for this page

Verify at the official NPI Registry.