Pike County Memorial Hospital
Family Medicine in Vandalia, MO. Organization (NPI-2).
NPI number1891201331
StatusActive
Last updated in NPPESDec 20, 2017
Details
- NPI
- 1891201331
- Entity type
- Organization (NPI-2)
- Legal business name
- Pike County Memorial Hospital
- Organization subpart
- No
- Enumeration date
- Dec 20, 2017
- Last updated
- Dec 20, 2017
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207Q00000X | Family Medicine | – | – | Yes |
Other names
- Pcmh Clinic (Doing Business As)
Practice location
425 N Galloway RdVandalia, MO 63382-1259
Phone 573-594-2111
Mailing address
2305 Georgia StLouisiana, MO 63353-2559
Phone 573-754-5531
Authorized official
Justin Selle
Ceo
5737545531
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