TEXAS COUNTY MEMORIAL HOSPITAL (NPI# 1164921300) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1164921300 |
| Entity Type | Organization |
| Organization Name | TEXAS COUNTY MEMORIAL HOSPITAL |
| Other Organization Name | TCMH OUTPATIENT CLINIC |
| Practice Address |
1333 S Sam Houston Blvd Ste A Houston MO 65483 |
| Mailing Address |
1333 S Sam Houston Blvd Ste A Houston MO 65483-2046 |
| Practice Telephone | 4179671319 |
| Practice Fax Number | 4179673764 |
| Mailing Telephone | 4179671319 |
| Mailing Fax Number | 4179673764 |
| Enumeration Date | 2018-02-02 |
| Last Update Date | 2018-07-18 |
| Authorized Official Name | MRS. LINDA J PAMPERIEN (CFO) |
| Authorized Official Telephone | 4179671255 |
| Is Organization Subpart | Y |
| Parent Organization Name | TEXAS COUNTY MEMORIAL HOSPITAL |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QM1300X |
Clinic/Center Specialization: Multi-Specialty |
Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MO | MEDICARE PART B | MA6957 | 01 |
| MO | 500050927 | 05 |
| Other Name | Type Code |
|---|---|
| TCMH Outpatient Clinic | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265754501 | Texas County Memorial Hospital | Clinic/Center | 1905 West 19th Street, Mountain Grove, MO 65711 | 2010-02-26 |
| 1164587770 | Texas County Memorial Hospital | Pharmacy | 1422 S Sam Houston Blvd Ste 100, Houston, MO 65483 | 2006-12-26 |
| 1538108253 | Texas County Memorial Hospital | Clinic/Center | 805 2nd St, Summersville, MO 65571-8714 | 2006-06-06 |
| 1235178930 | Texas County Memorial Hospital | Clinic/Center | Main & Myers, Licking, MO 65542-9027 | 2006-06-06 |
| 1235176256 | Texas County Memorial Hospital | Clinic/Center | 1335 S Sam Houston Blvd, Houston, MO 65483-2046 | 2006-05-31 |
| 1093780678 | Texas County Memorial Hospital | Hospice Care, Community Based | 1422 S Sam Houston Blvd Ste 300, Houston, MO 65483-2119 | 2006-02-17 |
| 1356324727 | Texas County Memorial Hospital | Home Health | 1422 S Sam Houston Blvd Ste 200, Houston, MO 65483 | 2005-11-21 |
| 1093286619 | Texas County Memorial Hospital | Clinic/Center | 1422 S Sam Houston Blvd, Houston, MO 65483-2130 | 2018-12-07 |
| 1548731169 | Texas County Memorial Hospital | Clinic/Center | 1422 S Sam Houston Blvd, Houston, MO 65483-2130 | 2018-12-07 |
| 1285957001 | Texas County Memorial Hospital | Clinic/Center | 1905 West 19th Street, Mountain Grove, MO 65711 | 2010-03-08 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | TEXAS COUNTY MEMORIAL HOSPITAL HEALTHCARE FOUNDATION | 1333 S Sam Houston Blvd, Houston, MO 65483-2046 |
| Street Address |
1333 S SAM HOUSTON BLVD STE A |
| City | HOUSTON |
| State | MO |
| Zip Code | 65483 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942657606 | Community Counseling Services of Missouri, L.L.C. | Counselor | 1591 C North Highway 63, Houston, MO 65483 | 2016-05-23 |
| 1083081681 | Vicky Birdsong | Registered Nurse | 1597 North Hwy 63, Houston, MO 65483 | 2015-08-31 |
| 1578794525 | Mary Jane Lybyer | Speech-Language Pathologist | 423 W. Pine, Houston, MO 65483 | 2009-08-06 |
| 1851530257 | Womack Chiropractic Center, PC | Chiropractor | 118 W. Main St., Houston, MO 65483 | 2009-02-10 |
| 1588793459 | Houston R-1 School District | Local Education Agency (LEA) | 204 W. Spruce, Houston, MO 65483 | 2007-03-05 |
| 1487783296 | Mercy Clinic-springfield Communities | Family Medicine | 1422 S Sam Houston Blvd, Houston, MO 65483 | 2007-03-05 |
| 1164587770 | Texas County Memorial Hospital | Pharmacy | 1422 S Sam Houston Blvd Ste 100, Houston, MO 65483 | 2006-12-26 |
| 1336226513 | Deborah Belt-kell | Counselor | Tcmh Annex - Mental Health, 1333 S Sam Houston Blvd, Houston, MO 65483 | 2006-11-01 |
| 1164483921 | Christopher O Baldwin | Obstetrics & Gynecology | 1337 S Sam Houston Blvd, Houston, MO 65483 | 2006-03-31 |
| 1356324727 | Texas County Memorial Hospital | Home Health | 1422 S Sam Houston Blvd Ste 200, Houston, MO 65483 | 2005-11-21 |
| Find all providers in zip 65483 | ||||
| Taxonomy Code | 261QM1300X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Multi-Specialty |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427662667 | Journey To Recovery LLC | Clinic/Center | 2815 W T C Jester Blvd Ste 102, Houston, TX 77018-7049 | 2020-09-04 |
| 1174143002 | Ultimate Pain Solutions, P.l.l.c. | Clinic/Center | 9700 Richmond Ave Ste 120, Houston, TX 77042-4697 | 2020-04-21 |
| 1770124042 | William Shepherd | Clinic/Center | 16800 Imperial Valley Dr, Houston, TX 77060-3159 | 2019-10-08 |
| 1114570199 | Neurology Practice Group, Pllc | Clinic/Center | 2711 Ferndale Street, Houston, TX 77098 | 2019-07-19 |
| 1881152965 | Bear Creek Medical Center, Inc. | Clinic/Center | 4521 Highway 6 N Ste C, Houston, TX 77084-3479 | 2019-03-07 |
| 1710443627 | Total Life of Houston, LLC Dba J Flowers Health Institute | Clinic/Center | 1750 Sky Lark Ln Unit 2918, Houston, TX 77056-3747 | 2019-02-15 |
| 1952886699 | Accucare Medical Clinic Pllc | Clinic/Center | 2918 San Jacinto St Ste 150, Houston, TX 77004 | 2018-09-28 |
| 1205326022 | Abacus Ime LLC | Clinic/Center | 1240 Blalock Rd Ste 190, Houston, TX 77055-6451 | 2018-05-17 |
| 1336650860 | Fast Recovery Healthcare Center LLC | Clinic/Center | 6260 Westpark Dr Ste 300h, Houston, TX 77057-7353 | 2017-10-24 |
| 1326559808 | Priority Community Healthcare LLC | Clinic/Center | 9894 Bissonnet St Ste 215, Houston, TX 77036-8035 | 2017-10-23 |
| Find all providers in HOUSTON | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.