LINCOLN COUNTY MEMORIAL HOSPITAL (NPI# 1902820012) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1902820012 |
| Entity Type | Organization |
| Organization Name | LINCOLN COUNTY MEMORIAL HOSPITAL |
| Other Organization Name | DOCTORS PROFESSIONAL CLINIC |
| Practice Address |
1165 E Cherry St Troy MO 63379-1520 |
| Practice Telephone | 6365287722 |
| Practice Fax Number | 6365287744 |
| Mailing Telephone | 6365287722 |
| Mailing Fax Number | 6365287744 |
| Enumeration Date | 2006-07-26 |
| Last Update Date | 2014-12-18 |
| Authorized Official Name | MR. PATRICK G BIRA (CHIEF EXECUTIVE OFFICER) |
| Authorized Official Telephone | 6365283326 |
| Is Organization Subpart | Y |
| Parent Organization Name | LINCOLN COUNTY MEMORIAL HOSPITAL DBA LINCOLN COUNTY MEDICAL CENT |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QP2300X |
Clinic/Center Specialization: Primary Care |
Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MO | 242201705 | 05 |
| Other Name | Type Code |
|---|---|
| Doctors Professional Clinic | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194151274 | Lincoln County Memorial Hospital | Clinic/Center | 35 Winfield Plz, Winfield, MO 63389-3451 | 2013-09-19 |
| 1073521910 | Lincoln County Memorial Hospital | Home Health | 1005 East Cherry Street, Troy, MO 63379 | 2006-08-04 |
| 1407260961 | Lincoln County Memorial Hospital | Pediatrics | 1177 E Cherry St, Troy, MO 63379-1520 | 2014-06-12 |
| 1669809661 | Lincoln County Memorial Hospital | Internal Medicine | 1000 E Cherry St, Troy, MO 63379-1513 | 2013-10-04 |
| 1558624791 | Lincoln County Memorial Hospital | Clinic/Center | 1000 E Cherry St, Troy, MO 63379-1513 | 2012-06-22 |
| 1821397712 | Lincoln County Memorial Hospital | Clinic/Center | 1175 E Cherry St, Troy, MO 63379-1520 | 2011-03-18 |
| 1710283213 | Lincoln County Memorial Hospital | Clinic/Center | 106 Broadway St, Suite 3c, Elsberry, MO 63343-1345 | 2011-01-31 |
| 1326349861 | Lincoln County Memorial Hospital | Clinic/Center | 1000 E Cherry St, Attn: Pulmonary Clinic 3rd Floor, Troy, MO 63379-1513 | 2010-11-16 |
| 1194731539 | Lincoln County Memorial Hospital | Clinic/Center | 900 E Cherry St, Troy, MO 63379-1429 | 2006-07-31 |
| 1184648271 | Lincoln County Memorial Hospital | Clinic/Center | 1003 E Cherry St, Troy, MO 63379-1503 | 2006-07-26 |
| Street Address |
1165 E CHERRY ST |
| City | TROY |
| State | MO |
| Zip Code | 63379-1520 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134106883 | Gary W Rucker | Family Medicine | 1165 E Cherry St, Troy, MO 63379-1520 | 2005-12-23 |
| 1922548627 | Amber Moore | Nurse Practitioner | 1165 E Cherry St, Troy, MO 63379-1520 | 2017-02-28 |
| 1316343494 | Mercy Hospital Lincoln | Clinic/Center | 1165 E Cherry St, Troy, MO 63379-1520 | 2014-11-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336746601 | Cathleen Burks | Counselor | 384 Rockport Dr, Troy, MO 63379 | 2020-10-08 |
| 1851818058 | Sarah Tippit | Occupational Therapist | 39 Cattail Pl, Troy, MO 63379 | 2017-08-28 |
| 1104360239 | Lori Seulean LLC | Counselor | 410 Sydna Ct, Troy, MO 63379 | 2016-12-08 |
| 1659827210 | Elisabeth Marie Nation | Physical Therapist | 722 N Hwy 47 Suite A, Warrenton, MO 63379 | 2016-09-01 |
| 1598054587 | Janice Ann Mills | Counselor | 1385 Creech School Road, Troy, MO 63379 | 2011-03-31 |
| 1437450871 | All Family Chiropractic LLC | Chiropractor | 9 Plaza, Troy, MO 63379 | 2010-11-16 |
| 1063713246 | Troy Family Dentistry, LLC | Dentist | 128 Professional Parkway, Troy, MO 63379 | 2010-11-04 |
| 1437478476 | Jennifer G Ray | Pediatrics | 164 Professional Pkwy, Troy, MO 63379 | 2010-05-28 |
| 1184868523 | Troy Residential, LLC | Assisted Living Facility | 159 Professional Parkway, Troy, MO 63379 | 2009-04-29 |
| 1639356793 | Susan Kaye Galloway | Counselor | 104 Mound, Troy, MO 63379 | 2008-01-30 |
| Find all providers in zip 63379 | ||||
| Taxonomy Code | 261QP2300X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Primary Care |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588093314 | Quad Med LLC | Clinic/Center | 1447 E. Main Street, Troy, OH 45373 | 2013-11-02 |
| 1285985309 | Rolando M. Estupigan D.o. P.C. | Clinic/Center | 2265 Livernois Rd Ste 402, Troy, MI 48083-1606 | 2012-09-28 |
| 1336654052 | Hoosick Street Pediatrics, Pllc | Clinic/Center | 333 Hoosick St, Troy, NY 12180-2042 | 2017-12-04 |
| 1669735130 | J.h.s. D.o. P.C. | Clinic/Center | 115 E Long Lake Rd, Troy, MI 48085-5524 | 2012-06-20 |
| 1174832281 | Troy Regional Physicians Inc. | Clinic/Center | 1320 Highway 231 S, Suites 1 & 2, Troy, AL 36081-3000 | 2010-10-07 |
| 1215269733 | Farzana Haque M.d. P.C. | Clinic/Center | 5882 Houghten Dr, Suite B, Troy, MI 48098-2960 | 2010-02-09 |
| 1669709960 | Molly Oshea Pllc | Clinic/Center | 3270 W Big Beaver Rd, Suite 400, Troy, MI 48084-2901 | 2009-11-06 |
| 1235380809 | Pediatric Associates of Troy Pllc | Clinic/Center | 2001 5th Ave, Troy, NY 12180-3340 | 2008-10-01 |
| 1578777165 | Birmingham Medical Associates, Pllc | Clinic/Center | 306 Town Center Dr, Troy, MI 48084-1742 | 2007-05-10 |
| 1255481677 | Troy Family Medicine, PC | Clinic/Center | 101 Country Club Rd, Troy, AL 36079-3093 | 2007-01-10 |
| Find all providers in TROY | ||||
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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.