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MACON COUNTY SAMARITAN HOSPITAL NPI 1891734505


NPI Information

NPI: 1891734505
Provider Name: MACON COUNTY SAMARITAN HOSPITAL

Doing Business As: TOTAL FAMILY HEALTHCARE

Classification: Clinic/Center - 261QR1300X
Entity Type: Organization

Specialization: Rural Health

CLIA Number: 26D1015512

Address:
1201 N RUTHERFORD ST
MACON, MO
ZIP 63552
Phone: (660) 385-8900
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MACON COUNTY SAMARITAN HOSPITAL is a rural health clinic center in Macon, MO. MACON COUNTY SAMARITAN HOSPITAL NPI is 1891734505. The provider is registered as an organization entity type.
The provider Is Doing Business As Total Family Healthcare.

The provider's business location address is:

1201 N RUTHERFORD ST
MACON, MO
ZIP 63552-020
Phone: (660) 385-8900
Fax: (660) 385-8708

The provider's authorized official is Susan J Spencer .
The authorized official title is Cfo and has the following contact phone number (660) 385-8716.

The CLIA number assigned to this NPI record is 26D1015512 - rural health clinic with a certificate type of Certificate for Provider-Performed Microscopy Procedures (PPMP).

The enumeration date for this NPI number is 6/6/2006 and was last updated on 2/9/2015.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1261QC0050XClinic/CenterCritical Access HospitalN/A - HOSPITAL BASEDNo
2261QR1300XClinic/CenterRural HealthN/A - HOSPITAL BASEDYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1268567MEDICARE OSCAR/CERTIFICATION
2505973701OTHERMISSOURIMEDICAID MO
3DA1450OTHERMISSOURIRAILROAD MEDICARE
4596088104MEDICAIDMISSOURI
5000013920OTHERMISSOURIMEDICARE MO

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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