BREECH REGIONAL MEDICAL CENTER (NPI# 1023002805) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1023002805 |
| Entity Type | Organization |
| Organization Name | BREECH REGIONAL MEDICAL CENTER |
| Other Organization Name | ST. JOHN'S HOSPITAL - LEBANON, HOME MEDICAL SUPPLY |
| Practice Address |
1200 Deadra Dr Lebanon MO 65536-4669 |
| Mailing Address |
100 Hospital Dr Lebanon MO 65536-9210 |
| Practice Telephone | 4175889330 |
| Practice Fax Number | 4175880217 |
| Mailing Telephone | 4175889330 |
| Mailing Fax Number | 4175880217 |
| Enumeration Date | 2005-09-07 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | MR. DAVID E. WILHITE (BOARD CHAIR) |
| Authorized Official Telephone | 4175323177 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 332BX2000X |
Durable Medical Equipment & Medical Supplies Specialization: Oxygen Equipment & Supplies |
2003026558 | MO | Suppliers |
| Other Name | Type Code |
|---|---|
| St. John's Hospital - Lebanon, Home Medical Supply | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568456283 | Breech Regional Medical Center | Durable Medical Equipment & Medical Supplies | 594 Old Route 66, St Robert, MO 65584-3729 | 2005-09-08 |
| Street Address |
1200 DEADRA DR |
| City | LEBANON |
| State | MO |
| Zip Code | 65536-4669 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457533267 | Mercy Hospital Springfield | Durable Medical Equipment & Medical Supplies | 1200 Deadra Dr, Lebanon, MO 65536-4669 | 2007-12-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427537307 | Cathy Jane Greenlee | Nurse Practitioner | 510 Hwy 32, Lebanon, MO 65536 | 2018-08-10 |
| 1396232831 | Steven Michael Majdecki | Counselor | 860 Lynn St., Lebanon, MO 65536 | 2018-04-19 |
| 1447629399 | Danielle Craig | Speech-Language Pathologist | 1200 Clark Ave, Lebanon, MO 65536 | 2015-09-22 |
| 1982080255 | Dawn Barker | Family Medicine | 331 Hospital Dr Ste C, Lebanon, MO 65536 | 2015-08-10 |
| 1194163840 | Laura Patton | Speech-Language Pathologist | 22864 Perimeter Drive, Lebanon, MO 65536 | 2013-06-04 |
| 1750588273 | Elaine Britzman | Registered Nurse | 874 S Jefferson St, Lebanon, MO 65536 | 2007-06-28 |
| 1538363486 | Laclede Co. Assoc. for Retarded Citizens | Respite Care | 200 Lawson Ave., Lebanon, MO 65536 | 2007-06-13 |
| 1568665768 | Fern M Klein | Registered Nurse | 874 S Jefferson, Lebanon, MO 65536 | 2007-06-06 |
| 1639201080 | Laclede County Assoc. for Retarded Citizens | Day Training, Developmentally Disabled Services | 200 Lawson Avenue, Lebanon, MO 65536 | 2007-03-12 |
| 1316078868 | Michael Montgomery Od PC | Optometrist | 279 E Elm, Lebanon, MO 65536 | 2007-03-08 |
| Find all providers in zip 65536 | ||||
| Taxonomy Code | 332BX2000X |
| Grouping | Suppliers |
| Classification | Durable Medical Equipment & Medical Supplies |
| Specialization | Oxygen Equipment & Supplies |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386814598 | Samaritan Pacific Health Services, Inc. | Durable Medical Equipment & Medical Supplies | 325 Industrial Way, Lebanon, OR 97355-2852 | 2008-03-04 |
| 1578942629 | Nationwide Sleep Therapy, LLC | Durable Medical Equipment & Medical Supplies | 115 Etna Rd, Build 2, Suite 1, Lebanon, NH 03766-1429 | 2015-05-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033764618 | Veterans First Alliance | Durable Medical Equipment & Medical Supplies | 1005 N Kingshighway St Ste 10, Cape Girardeau, MO 63701-3502 | 2019-08-09 |
| 1750842233 | Adapthealth - Missouri LLC | Durable Medical Equipment & Medical Supplies | 1900 W Sunset St Ste C120, Springfield, MO 65807-6029 | 2019-03-27 |
| 1780148288 | Jkm Dme, Inc | Durable Medical Equipment & Medical Supplies | 2207 N Belt Hwy Ste G, Saint Joseph, MO 64506-2297 | 2019-01-29 |
| 1992226765 | Aerocare Home Medical Equipment, Inc | Durable Medical Equipment & Medical Supplies | 5900 N Tower Dr Ste F, Columbia, MO 65202-9437 | 2017-07-03 |
| 1891154217 | Lester E Cox Medical Centers | Durable Medical Equipment & Medical Supplies | 1447 State Highway 248, Suite B, Branson, MO 65616-9656 | 2016-02-12 |
| 1023480027 | Medx Medical Equipment and Mobility | Durable Medical Equipment & Medical Supplies | 1638 N Corrington Ave, Kansas City, MO 64120-1946 | 2015-10-29 |
| 1578935227 | Greg Speiser | Durable Medical Equipment & Medical Supplies | 615 Cherokee Dr, Suite 8, Marshall, MO 65340-1681 | 2015-10-21 |
| 1396111258 | True Care Home Health Equipment Sales and Service LLC | Durable Medical Equipment & Medical Supplies | 1908 N Westwood Blvd, Suite B, Poplar Bluff, MO 63901-2808 | 2015-08-14 |
| 1720463755 | Cardinal Sleep LLC | Durable Medical Equipment & Medical Supplies | 2610 N Glenstone Ave, Springfield, MO 65803-4740 | 2015-07-20 |
| 1346635687 | Diamond Aire, LLC | Durable Medical Equipment & Medical Supplies | 1638 B Business Hwy 60 West, Dexter, MO 63841-2837 | 2015-04-03 |
| Find all providers with the same taxonomy | ||||
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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.