TEXAS COUNTY MEMORIAL HOSPITAL (NPI# 1881755759) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1881755759 |
Entity Type | Organization |
Organization Name | TEXAS COUNTY MEMORIAL HOSPITAL |
Other Organization Name | TCMH AMBULANCE |
Practice Address |
1333 S Sam Houston Blvd Houston MO 65483-2046 |
Practice Telephone | 4179673311 |
Practice Fax Number | 4179671234 |
Mailing Telephone | 4179673311 |
Mailing Fax Number | 4179671234 |
Enumeration Date | 2006-12-13 |
Last Update Date | 2016-05-03 |
Authorized Official Name | MRS. LINDA J. PAMPERIEN (CHIEF FINANCIAL OFFICER) |
Authorized Official Telephone | 4179673311 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 282N00000X | General Acute Care Hospital | 172-48 | MO | Hospitals |
Y | 3416L0300X |
Ambulance Specialization: Land Transport |
172-48 | MO | Transportation Services |
State | Issuer | Identifier | Type Code |
---|---|---|---|
MO | 800156507 | 05 |
Other Name | Type Code |
---|---|
TCMH AMBULANCE | 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 |
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 |
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 |
1710926928 | Texas County Memorial Hospital | Clinic/Center | 1333 S Sam Houston Blvd, Suite C, Houston, MO 65483-2046 | 2006-06-05 |
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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 | 3416L0300X |
Grouping | Transportation Services |
Classification | Ambulance |
Specialization | Land Transport |
Definition to come... |
Notes: [1/1/2005: title modified] |
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1316301054 | Instacare Ambulance Services Inc | Ambulance | 6420 Richmond Ave Ste 335, Houston, TX 77057-5949 | 2016-04-08 |
1841655867 | Cdh Transportation Inc | Ambulance | 10010 Kirkdale Dr, Houston, TX 77089-2308 | 2015-12-17 |
1619393436 | Society Team Ems Inc | Ambulance | 2525 North Loop W Ste 102, Houston, TX 77008-1024 | 2014-03-17 |
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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.