Sullivan County Memorial Hospital | |
106 North Main Newtown MO 64667-1000 | |
(660) 794-5100 | |
(660) 265-3406 |
Full Name | Sullivan County Memorial Hospital |
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Speciality | Clinic/center - Rural Health |
Location | 106 North Main, Newtown, Missouri |
Authorized Official Name and Position | Amy Michael (CHIEF OPERATING OFFICER) |
Authorized Official Contact | 6602654212 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
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 106 North Main Newtown MO 64667-1000 Ph: (660) 794-5100 |
NPI Number | 1770624967 |
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Provider Enumeration Date | 02/09/2007 |
Last Update Date | 09/17/2013 |
Identifier | Type | State | Issuer |
---|---|---|---|
1770624967 | NPI | - | NPPES |
540324803 | Medicaid | MO |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QR1300X | Clinic/center - Rural Health | 130-55 (Missouri) | Primary |