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DSH260024 TEXAS COUNTY MEMORIAL HOSPITAL (Active)
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Main Details
Name
TEXAS COUNTY MEMORIAL HOSPITAL
Subdivision Name
Type
Disproportionate Share Hospital
Rural
Yes
340B ID
DSH260024
Medicare Provider Number
260024
Additional Details
Current Program Status
Active
Registration Date
3/10/2010
Participating Start Date
4/1/2010
Participating Approval Date
3/15/2010
Last Recertification Date
8/30/2024
Contacts
Authorizing Official
Texas County Memorial Hospital
LINDA PAMPERIEN, CFO
(417) 967-1255
Primary Contact
Texas County Memorial Hospital
Jessica Gettys, 340B Pharmacist
(417) 967-1246
Addresses
Street Address
1333 S SAM HOUSTON BLVD
HOUSTON, MO 65483
Billing Address
Same as Street Address
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
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4/4/12 ADDED SUBDIV NAME, UPDATED MAIN ADD (WAS 1333 S. SAM HOUSTON BLVD., HOUSTON, MO 65483)
04/04/2012
April 2025
April 2025
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