Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Pike County Memorial Hospital

Organization Family Medicine Physician · NPI 1538513072

Pike County Memorial Hospital provides Family Medicine Physician services in Louisiana, Missouri. Registered with an NPI since 2016.

In the registry since
2016

Practice location Address checks out

2305 Georgia St
Louisiana, MO 63353-2559
Phone: (573) 754-4584
Fax: (573) 754-5280
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X

Record details

NPI number1538513072
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Justin Selle — Ceo · (573) 754-5531
Other names Pcmh Clinic
NPI enumeratedApril 21, 2016
Last updated in NPPESOctober 17, 2016
Mailing address2305 Georgia St, Louisiana, MO 63353-2559

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