WRIGHT MEMORIAL CUSTER STREET CLINIC
NPI 1891937520
Clinic/Center - Critical Access Hospital in Trenton, MO
- Organization
- Clinic/Center
- Critical Access Hospital
About WRIGHT MEMORIAL CUSTER STREET CLINIC
This page provides the complete NPI Profile along with additional information for Wright Memorial Custer Street Clinic, a provider established in Trenton, Missouri operating as a Clinic/center, focusing in critical access hospital . The healthcare provider is registered in the NPI registry with number 1891937520 assigned on March 2009. The practitioner's primary taxonomy code is 261QC0050X with license number 413-14 (MO). The provider is registered as an organization and their NPI record was last updated 17 years ago. The provider's is doing business as Wright Memorial Custer Street Clinic. The authorized official of this NPI record is Karen S Cole (Ceo)
- NPI
- 1891937520 Verify this NPI
- Provider Legal Name
- SAINT LUKE'S HOSPITAL OF TRENTON
- Other Organization Name
- WRIGHT MEMORIAL CUSTER STREET CLINIC
- Other Name Type
- Doing Business As (3)
- Entity Type
- Organization
- Location Address
- 902 CUSTER ST TRENTON, MO 64683
- Location Phone
- (660) 339-7294
- Mailing Address
- 701 E 1ST ST TRENTON, MO 64683
- Mailing Phone
- (660) 684-6244
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- Yes
- Enumeration Date
- 03-26-2009
- Last Update Date
- 03-26-2009
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Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Clinic/Center Critical Access Hospital
- Taxonomy Code
- 261QC0050X
- Type
- Ambulatory Health Care Facilities
- License No.
- 413-14
- License State
- MO
- Taxonomy Description
- An outpatient entity, facility, or distinct part of a facility within or affiliated with a Critical Access Hospital that provides access to primary care services for individuals in a small rural community and is Medicare certified.
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Other Providers at the Same Location
The following 2 providers are registered at the same or a nearby location.
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1891937520, enumerated as an "organization" on March 26, 2009.
The provider is located at 902 CUSTER ST TRENTON, MO 64683 and the phone number is (660) 339-7294.
Clinic/Center with taxonomy code 261QC0050X and a focus in Critical Access Hospital.