TEXAS COUNTY MEMORIAL HOSPITAL (NPI# 1326246000) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1326246000 |
| Entity Type | Organization |
| Organization Name | TEXAS COUNTY MEMORIAL HOSPITAL |
| Other Organization Name | TCMH ANNEX-MENTAL HEALTH |
| Practice Address |
1333 S Sam Houston Blvd Houston MO 65483-2046 |
| Practice Telephone | 4179671322 |
| Practice Fax Number | 4179671335 |
| Mailing Telephone | 4179671322 |
| Mailing Fax Number | 4179671335 |
| Enumeration Date | 2007-07-05 |
| Last Update Date | 2009-04-22 |
| Authorized Official Name | MRS. LINDA J PAMPERIEN (CFO) |
| Authorized Official Telephone | 4179673311 |
| Is Organization Subpart | Y |
| Parent Organization Name | TEXAS COUNTY MEMORIAL HOSPITAL |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QM0801X |
Clinic/Center Specialization: Mental Health (Including Community Mental Health Center) |
Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MO | 507321305 | 05 |
| Other Name | Type Code |
|---|---|
| TCMH ANNEX-MENTAL HEALTH | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164921300 | Texas County Memorial Hospital | Clinic/Center | 1333 S Sam Houston Blvd Ste A, Houston, MO 65483 | 2018-02-02 |
| 1265754501 | Texas County Memorial Hospital | Clinic/Center | 1905 West 19th Street, Mountain Grove, MO 65711 | 2010-02-26 |
| 1164587770 | Texas County Memorial Hospital | Pharmacy | 1422 S Sam Houston Blvd Ste 100, Houston, MO 65483 | 2006-12-26 |
| 1538108253 | Texas County Memorial Hospital | Clinic/Center | 805 2nd St, Summersville, MO 65571-8714 | 2006-06-06 |
| 1235178930 | Texas County Memorial Hospital | Clinic/Center | Main & Myers, Licking, MO 65542-9027 | 2006-06-06 |
| 1235176256 | Texas County Memorial Hospital | Clinic/Center | 1335 S Sam Houston Blvd, Houston, MO 65483-2046 | 2006-05-31 |
| 1093780678 | Texas County Memorial Hospital | Hospice Care, Community Based | 1422 S Sam Houston Blvd Ste 300, Houston, MO 65483-2119 | 2006-02-17 |
| 1356324727 | Texas County Memorial Hospital | Home Health | 1422 S Sam Houston Blvd Ste 200, Houston, MO 65483 | 2005-11-21 |
| 1093286619 | Texas County Memorial Hospital | Clinic/Center | 1422 S Sam Houston Blvd, Houston, MO 65483-2130 | 2018-12-07 |
| 1548731169 | Texas County Memorial Hospital | Clinic/Center | 1422 S Sam Houston Blvd, Houston, MO 65483-2130 | 2018-12-07 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | TEXAS COUNTY MEMORIAL HOSPITAL HEALTHCARE FOUNDATION | 1333 S Sam Houston Blvd, Houston, MO 65483-2046 |
| Street Address |
1333 S SAM HOUSTON BLVD |
| City | HOUSTON |
| State | MO |
| Zip Code | 65483-2046 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578548517 | Qasim Mustafa Bajwa | Radiology | 1333 S Sam Houston Blvd, Dept of Radiology, Houston, MO 65483-2046 | 2005-12-13 |
| 1487994208 | Tracey A Arwood | Advanced Practice Midwife | 1333 S Sam Houston Blvd, Houston, MO 65483-2046 | 2013-02-15 |
| 1679885644 | Selina A Jeanise | Emergency Medicine | 1333 S Sam Houston Blvd, Houston, MO 65483-2046 | 2010-07-07 |
| 1679637185 | Brett L Welden | Nurse Practitioner | 1333 S Sam Houston Blvd, Houston, MO 65483-2046 | 2006-12-20 |
| 1356402226 | Texas County Memorial Hospital | General Acute Care Hospital | 1333 S Sam Houston Blvd, Houston, MO 65483-2046 | 2006-12-13 |
| 1881755759 | Texas County Memorial Hospital | General Acute Care Hospital | 1333 S Sam Houston Blvd, Houston, MO 65483-2046 | 2006-12-13 |
| 1255492658 | Larry Wayne Ladd | Nurse Anesthetist, Certified Registered | 1333 S Sam Houston Blvd, Texas Co Memorial Hospital, Houston, MO 65483 | 2006-12-12 |
| 1023179298 | Texas County Memorial Hospital | Medicare Defined Swing Bed Unit | 1333 S Sam Houston Blvd, Houston, MO 65483-2046 | 2006-12-12 |
| 1942244165 | Oren K Broughton | Emergency Medicine | 1333 S Sam Houston Blvd, Houston, MO 65483-2046 | 2006-06-16 |
| 1710926928 | Texas County Memorial Hospital | Clinic/Center | 1333 S Sam Houston Blvd, Suite C, Houston, MO 65483-2046 | 2006-06-05 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164921300 | Texas County Memorial Hospital | Clinic/Center | 1333 S Sam Houston Blvd Ste A, Houston, MO 65483 | 2018-02-02 |
| 1942657606 | Community Counseling Services of Missouri, L.L.C. | Counselor | 1591 C North Highway 63, Houston, MO 65483 | 2016-05-23 |
| 1083081681 | Vicky Birdsong | Registered Nurse | 1597 North Hwy 63, Houston, MO 65483 | 2015-08-31 |
| 1578794525 | Mary Jane Lybyer | Speech-Language Pathologist | 423 W. Pine, Houston, MO 65483 | 2009-08-06 |
| 1851530257 | Womack Chiropractic Center, PC | Chiropractor | 118 W. Main St., Houston, MO 65483 | 2009-02-10 |
| 1588793459 | Houston R-1 School District | Local Education Agency (LEA) | 204 W. Spruce, Houston, MO 65483 | 2007-03-05 |
| 1487783296 | Mercy Clinic-springfield Communities | Family Medicine | 1422 S Sam Houston Blvd, Houston, MO 65483 | 2007-03-05 |
| 1164587770 | Texas County Memorial Hospital | Pharmacy | 1422 S Sam Houston Blvd Ste 100, Houston, MO 65483 | 2006-12-26 |
| 1336226513 | Deborah Belt-kell | Counselor | Tcmh Annex - Mental Health, 1333 S Sam Houston Blvd, Houston, MO 65483 | 2006-11-01 |
| 1164483921 | Christopher O Baldwin | Obstetrics & Gynecology | 1337 S Sam Houston Blvd, Houston, MO 65483 | 2006-03-31 |
| Find all providers in zip 65483 | ||||
| Taxonomy Code | 261QM0801X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Mental Health (Including Community Mental Health Center) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447884333 | Ace Behavioral Health Services | Clinic/Center | 3626 Royal Royce Dr, Houston, TX 77042-4227 | 2020-02-28 |
| 1174157689 | Sound Mind Psychiatry Pllc | Clinic/Center | 105 W Hamilton St, Houston, MS 38851-2209 | 2020-02-24 |
| 1083252902 | More 2 Life Mental Health LLC | Clinic/Center | 11811 North Fwy Ste 555, Houston, TX 77060-3245 | 2019-12-11 |
| 1154968261 | Inherent Wellness, Pllc | Clinic/Center | 2500 E Tc Jester Blvd Ste 241, Houston, TX 77008-1449 | 2019-12-08 |
| 1861035818 | The Mendcenter Foundation | Clinic/Center | 1973 W Gray St Ste 22, Houston, TX 77019-4811 | 2019-10-22 |
| 1407403074 | Del Torres Behavioral Health and Wellness | Clinic/Center | 11903 Duran Canyon Ln, Houston, TX 77067-5217 | 2019-08-19 |
| 1285294900 | Malaty Therapy | Clinic/Center | 9545 Katy Fwy Ste 425, Houston, TX 77024-1412 | 2019-06-14 |
| 1841755618 | Miracle Mind Counseling Center LLC | Clinic/Center | 5850 W Gulf Bank Rd Apt 505, Houston, TX 77088-4125 | 2019-02-06 |
| 1689144867 | Anchoring Hopes Wellness Recovery Institute | Clinic/Center | 3925 Old Galveston Rd Bldg A, Houston, TX 77017-2517 | 2018-11-29 |
| 1174092977 | Niche Medical Academy Inc | Clinic/Center | 7066 Lakeview Haven Dr Ste 125b, Houston, TX 77095-2560 | 2018-11-21 |
| Find all providers in HOUSTON | ||||
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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.