TCMH - CABOOL MEDICAL CLINIC – NPI #1396785135
Clinic/Center

TCMH - CABOOL MEDICAL CLINIC is an AHC clinic located in CABOOL, MO. NPPES has assigned the NPI number 1396785135 to TCMH - CABOOL MEDICAL CLINIC on June 08, 2006. It is a Type-2 NPI, indicating this NPI number is associated with an organization. Since the name “TCMH - CABOOL MEDICAL CLINIC” is a dba name, the actual legal business name for this organization is TEXAS COUNTY MEMORIAL HOSPITAL. With multiple taxonomy codes selected, the primary taxonomy selected by this provider is 261QP2300X from the Health Care Provider Taxonomy code set, which is classified as Clinic/Center, specializing in Primary Care

The NPI profile was previously updated about 16 years ago on Aug 10, 2010. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for TCMH - CABOOL MEDICAL CLINIC below.

NPI Profile for
TEXAS COUNTY MEMORIAL HOSPITAL

NPI Number
1396785135
Enumeration Date

(more than 20 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
TEXAS COUNTY MEMORIAL HOSPITAL
Doing Business As (dba): TCMH - CABOOL MEDICAL CLINIC
Primary location
500 MAIN STREET
CABOOL, MO 65689
Phone: (417) 962-3015 Fax: (417) 962-5938
Mailing address
Same as primary location
Organization Subpart
Yes - TCMH - CABOOL MEDICAL CLINIC is subpart of another organization.
Authorized Official
LINDA PAMPERIEN
CHIEF FINANCIAL OFFICER
Phone: (417) 967-3311
Updated
Identifiers

Identifiers for TCMH - CABOOL MEDICAL CLINIC

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
OTHERCLIAMO26D0859759
OTHERRH MEDICAIDMO597943901
OTHERRH MEDICAREMO26-8603
MEDICAIDMO507943900
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
261QP2300X
- Clinic/Center / Primary Care (Primary)
261QR1300X
- Clinic/Center / Rural Health
261Q00000X
- Clinic/Center

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.