TEXAS COUNTY MEMORIAL HOSPITAL (NPI# 1710926928) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1710926928 |
| Entity Type | Organization |
| Organization Name | TEXAS COUNTY MEMORIAL HOSPITAL |
| Other Organization Name | TCMH PROFESSIONAL BUILDING-GENERAL SURGERY |
| Practice Address |
1333 S Sam Houston Blvd Suite C Houston MO 65483-2046 |
| Practice Telephone | 4179675435 |
| Practice Fax Number | 4179675503 |
| Mailing Telephone | 4179675435 |
| Mailing Fax Number | 4179675503 |
| Enumeration Date | 2006-06-05 |
| Last Update Date | 2014-07-28 |
| Authorized Official Name | MRS. LINDA J. PAMPERIEN (CHIEF FINANCIAL OFFICER) |
| Authorized Official Telephone | 4179673311 |
| Is Organization Subpart | Y |
| Parent Organization Name | TEXAS COUNTY MEMORIAL HOSPITAL |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261Q00000X | Clinic/Center | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MO | 500253307 | 05 |
| Other Name | Type Code |
|---|---|
| TCMH Professional Building-General Surgery | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164921300 | Texas County Memorial Hospital | Clinic/Center | 1333 S Sam Houston Blvd Ste A, Houston, MO 65483 | 2018-02-02 |
| 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 |
| 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 SUITE C |
| City | HOUSTON |
| State | MO |
| Zip Code | 65483-2046 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578548517 | Qasim Mustafa Bajwa | Radiology | 1333 S Sam Houston Blvd, Dept of Radiology, Houston, MO 65483-2046 | 2005-12-13 |
| 1487994208 | Tracey A Arwood | Advanced Practice Midwife | 1333 S Sam Houston Blvd, Houston, MO 65483-2046 | 2013-02-15 |
| 1679885644 | Selina A Jeanise | Emergency Medicine | 1333 S Sam Houston Blvd, Houston, MO 65483-2046 | 2010-07-07 |
| 1326246000 | Texas County Memorial Hospital | Clinic/Center | 1333 S Sam Houston Blvd, Houston, MO 65483-2046 | 2007-07-05 |
| 1679637185 | Brett L Welden | Nurse Practitioner | 1333 S Sam Houston Blvd, Houston, MO 65483-2046 | 2006-12-20 |
| 1356402226 | Texas County Memorial Hospital | General Acute Care Hospital | 1333 S Sam Houston Blvd, Houston, MO 65483-2046 | 2006-12-13 |
| 1881755759 | Texas County Memorial Hospital | General Acute Care Hospital | 1333 S Sam Houston Blvd, Houston, MO 65483-2046 | 2006-12-13 |
| 1255492658 | Larry Wayne Ladd | Nurse Anesthetist, Certified Registered | 1333 S Sam Houston Blvd, Texas Co Memorial Hospital, Houston, MO 65483 | 2006-12-12 |
| 1023179298 | Texas County Memorial Hospital | Medicare Defined Swing Bed Unit | 1333 S Sam Houston Blvd, Houston, MO 65483-2046 | 2006-12-12 |
| 1942244165 | Oren K Broughton | Emergency Medicine | 1333 S Sam Houston Blvd, Houston, MO 65483-2046 | 2006-06-16 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164921300 | Texas County Memorial Hospital | Clinic/Center | 1333 S Sam Houston Blvd Ste A, Houston, MO 65483 | 2018-02-02 |
| 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 |
| Find all providers in zip 65483 | ||||
| Taxonomy Code | 261Q00000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health). |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477150688 | Sun Houston, LLC | Clinic/Center | 7505 Fannin St Ste 430, Houston, TX 77054-1944 | 2020-10-01 |
| 1912517426 | Med Cure Clinic | Clinic/Center | 102703 Alief Clodine Rd, Houston, TX 77082 | 2020-08-10 |
| 1417565425 | Tiny Tots Pediatric Home Health, LLC | Clinic/Center | 11023 Cape Rise Trl, Houston, TX 77044-5990 | 2020-07-15 |
| 1609494152 | Gmed Global LLC | Clinic/Center | 11110 Bellaire Blvd Ste 203, Houston, TX 77072-2610 | 2020-07-10 |
| 1063048288 | Brsi Lp | Clinic/Center | 1111 North Loop W Ste 1000, Houston, TX 77008-4717 | 2020-03-19 |
| 1861023384 | Medipoint Analysis | Clinic/Center | 3726 Dacoma St Ste 225, Houston, TX 77092-8906 | 2020-02-03 |
| 1306477765 | Bellora Health | Clinic/Center | 3726 Dacoma St Ste 240, Houston, TX 77092-8906 | 2020-02-03 |
| 1396376752 | Renova Medical | Clinic/Center | 3726 Dacoma St Ste 250, Houston, TX 77092-8906 | 2020-02-03 |
| 1861032955 | Complete Care Clinic | Clinic/Center | 507 N Sam Houston Pkwy E Ste 440, Houston, TX 77060-4007 | 2020-01-07 |
| 1316583719 | Sleep Wave Center LLC | Clinic/Center | 3400 Bissonnet St Ste 135, Houston, TX 77005-2163 | 2019-11-20 |
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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.