TCMH FAMILY CLINIC - LICKING
NPI 1235178930
Clinic/Center - Primary Care in Licking, MO

Active since June 06, 2006CLIA 26D0679044 · Microscopy
139 W HIGHWAY 32, LICKING, MO 65542(573) 674-3011(573) 674-4765 Get Directions Write a Review

NPPES record last updated: July 12, 2024. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Tcmh Family Clinic - Licking NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

TCMH FAMILY CLINIC - LICKING (NPI 1235178930) is a healthcare organization registered as a primary care in Licking, Missouri and active in the NPI registry since June 2006. The organization holds a CLIA Microscopy certificate valid through September 15, 2027 and lists Linda J. Pamperien, Chief Financial Officer, as its authorized official.

NPPES Registry Identity

NPI1235178930
Entity TypeOrganization
Primary Taxonomy261QP2300X
Legal Business NameTEXAS COUNTY MEMORIAL HOSPITAL
Location Address139 W HIGHWAY 32Licking, MO 65542-9898
Mailing Address139 W Highway 32Licking, MO 65542-9898 · (573) 674-3011 · Fax (573) 674-4765
Fax(573) 674-4765
Organization SubpartYes
Authorized OfficialLinda J. PamperienChief Financial Officer · (417) 967-3311
Enumeration DateJune 6, 2006
Last NPPES UpdateJuly 12, 2024
NPPES CertifiedJuly 12, 2024
✔ NPI 1235178930 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Primary CareAmbulatory Health Care Facilities
Taxonomy Code261QP2300X
139 W HIGHWAY 32, Licking, MO 65542

Other Names 1

Doing Business AsTcmh Family Clinic - Licking

Other Identifiers 2

Other26D0679044MO · Clia
Medicaid505288902MO

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Tcmh Family Clinic - Licking is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

9

Medicare enrollment records show 9 clinicians reassign Medicare billing to Tcmh Family Clinic - Licking, which bills Medicare for the services they deliver. Of these, 1 practice at this address. They are listed nearest first.

Clinicians, nearest first (9)

Nurse Practitioner
NPI 1700327897
139 W HIGHWAY 32
Licking, MO 65542
(573) 674-3011
✔ PECOS✔ Accepts MedicareSame address
Family Practice
NPI 1366529570
1337 S SAM HOUSTON BLVD
Houston, MO 65483
(417) 967-5435
✔ PECOS✔ Accepts Medicare14 mi
Nurse Practitioner
NPI 1043966724
500 MAIN ST
Cabool, MO 65689
(417) 962-3015
✔ PECOS✔ Accepts Medicare30 mi
Nurse Practitioner
NPI 1932734092
500 MAIN ST
Cabool, MO 65689
(417) 962-3015
✔ PECOS✔ Accepts Medicare30 mi
Nurse Practitioner
NPI 1770171514
603 S. BISHOP AVE
Rolla, MO 65401
(573) 426-4411
✔ PECOS✔ Accepts Medicare30 mi
Internal Medicine
NPI 1154816858
1000 W 10TH ST
Rolla, MO 65401
(573) 458-8899
✔ PECOS✔ Accepts Medicare31 mi
Family Practice
NPI 1649434200
1905 W 19TH ST
Mountain Grove, MO 65711
(417) 926-1770
✔ PECOS✔ Accepts Medicare34 mi
Family Practice
NPI 1295115236
805 N KENTUCKY AVE
West Plains, MO 65775
(417) 256-2111
✔ PECOS✔ Accepts Medicare53 mi
Family Practice
NPI 1952980419
139 W HIGHWAY 32
Licking, MO 65542
(573) 674-3011
✔ PECOS✔ Accepts Medicare

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate for Provider-Performed Microscopy Procedures (PPMP) 26D0679044

Tcmh Family Clinic - Licking · Licking, MO
Active · expires Sep 15, 2027
CLIA Number26D0679044
Laboratory TypeRural Health Clinic
Certificate Effective DateSeptember 16, 2025
Certificate Expiration DateSeptember 15, 2027
Laboratory DirectorWhitney J. Hall
Laboratory Phone(573) 674-3011
Laboratory LocationTcmh Family Clinic - Licking139 W Hwy 32, Licking, MO 65542
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Texas County Memorial Hospital's NPI number?

The NPI number for Texas County Memorial Hospital is 1235178930. It was assigned to this organization in the NPPES registry on June 6, 2006. The provider is doing business as Tcmh Family Clinic - Licking.

Where is Texas County Memorial Hospital located?

Texas County Memorial Hospital is located at 139 W Highway 32, Licking, MO 65542. The listed phone number is (573) 674-3011.

What is Texas County Memorial Hospital's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Primary Care, with taxonomy code 261QP2300X.

Is Texas County Memorial Hospital enrolled in Medicare?

Yes. Texas County Memorial Hospital is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Texas County Memorial Hospital?

According to the CMS Revalidation Reassignment List (October 2026 release), 9 clinicians in 3 Medicare specialties reassign their Medicare billing to Texas County Memorial Hospital. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. The largest specialties are Family Practice (4), Nurse Practitioner (4) and Internal Medicine (1). Of these, 1 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Texas County Memorial Hospital hold a CLIA laboratory certificate?

Yes. A Certificate for Provider-Performed Microscopy Procedures (PPMP) (number 26D0679044) is associated with this NPI, valid through September 15, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Texas County Memorial Hospital accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Arkansas Health & Wellness, Ambetter from Sunflower Health Plan and Ambetter of Oklahoma and 2 other insurers list Texas County Memorial Hospital as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Texas County Memorial Hospital was last updated on July 12, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.