Sullivan County Memorial Hospital Milan Family Practice

LBN: Sullivan County Memorial Hospital
Sullivan County Memorial Hospital Milan Family Practice is an health care organization with primary practice located at 210 N Market St , Milan MO 63556-1316. The organization recently has only one registered license in Ambulatory Health Care Facilities / Rural Health, which is considered as the primary health care specialty. Sullivan County Memorial Hospital can be contacted via phone (660) 265-4456, or through Michael, Amy via phone (660) 265-4212.

Contact Information

Primary practice address
210 N Market St Milan MO 63556-1316
Phone: (660) 265-4456
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Michael, Amy
Phone: (660) 265-4212

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Rural Health 261QR1300X Missouri

Profile Details

NPI number 1619065828
LBN Legal business name Sullivan County Memorial Hospital
DBA Doing business as Sullivan County Memorial Hospital Milan Family Practice
Authorized official Michael, Amy
Entity Organization
Organization subpart 1 Yes
Enumeration date Oct 11th, 2006
Last updated Nov 30th, 2015 - about 11 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1619065828 NPPES
Missouri MEDICAID 591720800
Missouri MEDICAID 501720809

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