Sullivan County Memorial Hospital is a medicare enrolled primary clinic (Clinic/center - Rural Health) in Green City, Missouri. The current practice location for Sullivan County Memorial Hospital is 18 W 3rd St, Green City, Missouri. For appointments, you can reach them via phone at
(660) 874-5887. The mailing address for Sullivan County Memorial Hospital is 630 W 3rd St, Milan, Missouri and phone number is (660) 265-4212.
Sullivan County Memorial Hospital is licensed to practice in Missouri (license number 130-55). The clinic also participates in the medicare program and its
NPI number is 1518008218. This medical practice
accepts medicare insurance (which means this clinic accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance). However, please confirm if they accept your insurance at
(660) 874-5887.
Primary Care Clinic Profile
| Full Name | Sullivan County Memorial Hospital |
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| Speciality | Clinic/Center |
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| Location | 18 W 3rd St, Green City, Missouri |
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| Authorized Official Name and Position | Amy Michael (CHIEF OPERATING OFFICER) |
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| Authorized Official Contact | 6602654212 |
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| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
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Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
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Sullivan County Memorial Hospital
630 W 3rd St
Milan
MO 63556-1076
Ph: (660) 265-4212 | Sullivan County Memorial Hospital
18 W 3rd St
Green City
MO 63545-1361
Ph: (660) 874-5887 |
NPI Details:
| NPI Number | 1518008218 |
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| Provider Enumeration Date | 02/08/2007 |
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| Last Update Date | 09/09/2013 |
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Medicare PECOS Information:
| Medicare PECOS PAC ID | 7810973252 |
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| Medicare Enrollment ID | O20130725000204 |
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Medical Identifiers
Medical identifiers for Sullivan County Memorial Hospital such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1518008218 | NPI | - | NPPES |
| 540324803 | Medicaid | MO | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 261QR1300X | Clinic/center - Rural Health | 130-55 (Missouri) | Primary |
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