PIKE COUNTY MEMORIAL HOSPITAL


Address: 425 N Galloway Rd, Vandalia, MO 63382-1259
Phone: 5737545531

PIKE COUNTY MEMORIAL HOSPITAL (NPI# 1033578588) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1033578588
Entity Type Organization
Organization Name PIKE COUNTY MEMORIAL HOSPITAL
Other Organization Name PCMH CLINIC
Practice Address 425 N Galloway Rd
Vandalia
MO 63382-1259
Mailing Address 2305 Georgia St
Louisiana
MO 63353-2559
Practice Telephone 5737545531
Enumeration Date 2016-02-12
Last Update Date 2017-05-18
Authorized Official Name JUSTIN SELLE (CEO)
Authorized Official Telephone 5737545531
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 207Q00000X Family Medicine Allopathic & Osteopathic Physicians
Y 261QR1300X Clinic/Center
Specialization: Rural Health
Ambulatory Health Care Facilities

Other Provider/Organization Names

Other Name Type Code
PCMH Clinic Doing Business As Name - Organization

Other Provider IDs and Locations

NPI Name Taxonomy Address Enumeration
1134633456 Pike County Memorial Hospital Clinic/Center 1420 S Business 61 Unit Fde, Bowling Green, MO 63334-5230 2017-11-22
1114072857 Pike County Memorial Hospital General Practice 1124 N Washington Ave, Murfreesboro, AR 71958-0000 2007-01-24
1659487932 Pike County Memorial Hospital Registered Nurse 315 E 13th St, Murfreesboro, AR 71958-9541 2006-08-21
1205837218 Pike County Memorial Hospital General Acute Care Hospital 2305 W. Georgia St, Louisiana, MO 63353-2559 2005-08-02
1891201331 Pike County Memorial Hospital Family Medicine 425 N Galloway Rd, Vandalia, MO 63382-1259 2017-12-20
1962933143 Pike County Memorial Hospital Family Medicine 1420 S Business 61, Unit Fde, Bowling Green, MO 63334-5230 2017-03-21
1538513072 Pike County Memorial Hospital Family Medicine 2305 Georgia St, Louisiana, MO 63353-2559 2016-04-21
1992159438 Pike County Memorial Hospital Family Medicine 1015 W Adams St, Bowling Green, MO 63334-1974 2016-04-21
1588989867 Pike County Memorial Hospital General Acute Care Hospital Po Box F, Murfreesboro, AR 71958-1005 2010-03-30
1518117449 Pike County Memorial Hospital General Acute Care Hospital 315 E 13th St, Murfreesboro, AR 71958-9541 2008-09-29

Office Location

Street Address 425 N GALLOWAY RD
City VANDALIA
State MO
Zip Code 63382-1259

Providers in the same location

NPI Name Taxonomy Address Enumeration
1265403869 Aaron Trone General Practice 425 N Galloway Rd, Vandalia, MO 63382-1259 2006-01-31
1891201331 Pike County Memorial Hospital Family Medicine 425 N Galloway Rd, Vandalia, MO 63382-1259 2017-12-20
1831294396 Hannibal Clinic Operations, L.L.C. Family Medicine 425 N Galloway Rd, Vandalia, MO 63382-1259 2006-09-13

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1356806806 Christina Dixon Nurse Practitioner 1101 E Us Highway 54, Vandalia, MO 63382 2019-02-08
1710187539 Danielle Mcgovern Bradshaw Psychiatry & Neurology 1101 E Hw 54, Womens Eastern Reception Diagnostic and Correctional Ce, Vandalia, MO 63382 2007-07-19
1043285398 Crisanto Gualberto General Practice 106 W State Street, Vandalia, MO 63382 2006-02-21
1760463384 Teresa L Stice Optometrist 209 W Washington, Vandalia, MO 63382 2005-11-10
1376554485 Michael Robert Cole Chiropractor 201 S. Main St., Vandalia, MO 63382-0149 2006-08-11
1629223425 Cole Chiropractic Center LLC Chiropractor 201 S. Main St., Vandalia, MO 63382-0149 2008-11-20
1538281126 Van Far R-i Local Education Agency (LEA) 2200 W Us Highway 54, Vandalia, MO 63382-1130 2007-04-04
1316072903 Lisa Jean Wise Speech-Language Pathologist 2200 W Highway 54, Van-far R-1 School District, Vandalia, MO 63382-1130 2007-02-22
1447397948 Niemann Foods Inc Pharmacy 1555 W Us Highway 54, Vandalia, MO 63382-1158 2007-01-31
1962483214 Tri County Nursing Home District Skilled Nursing Facility 601 N Galloway Rd, Vandalia, MO 63382-1252 2005-11-11
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Taxonomy Information

Taxonomy Code 261QR1300X
Grouping Ambulatory Health Care Facilities
Classification Clinic/Center
Specialization Rural Health

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1790789451 St. Mary's Hospital Clinic/Center 825 New York Dr, Ste 2, Vandalia, IL 62471-1044 2005-06-10
1528185170 Penny Attaway Clinic/Center 1404 N 5th St, Vandalia, IL 62471-1039 2007-03-26
1396861050 Brian W Dossett Md Ltd Clinic/Center 1029 N 8th St, Vandalia, IL 62471-1238 2007-03-22
1568500510 Fayette County Hospital District Clinic/Center 1442 N 8th St, Suite C, Vandalia, IL 62471-1027 2007-02-02

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1871102137 Washington County Memorial Hospital Clinic/Center 14206 Hwy C, Belgrade, MO 63622 2020-07-23
1891325072 Scotland County Memorial Hospital Clinic/Center 55682 State Highway 6 Ste A, Edina, MO 63537-4268 2020-01-16
1639736457 Southeast Health Center of Stoddard County LLC Clinic/Center 800 Us Highway 61, New Madrid, MO 63869-1106 2019-05-28
1134633456 Pike County Memorial Hospital Clinic/Center 1420 S Business 61 Unit Fde, Bowling Green, MO 63334-5230 2017-11-22
1720505894 Perry County Health System Clinic/Center 210 Hospital Ln Ste 202, Perryville, MO 63775-4200 2017-08-29
1427572007 Missouri Delta Medical Center Clinic/Center 209 W Yoakum Ave, Chaffee, MO 63740-1138 2017-07-26
1790213676 Jackson Primary Care LLC Clinic/Center 2685 E Main St Ste A, Jackson, MO 63755-2474 2017-05-23
1972050581 Sgoh Acquisition, Inc. Clinic/Center 912b State Highway 59, Goodman, MO 64843-8252 2016-09-01
1144605312 Nevada City Hospital Clinic/Center 627 S Ash St Ste B, Nevada, MO 64772 2015-07-29
1669856829 Ssm Regional Health Services Clinic/Center 2511 W Edgewood Dr Ste F, Jefferson City, MO 65109-5869 2015-07-16
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Competitor

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City VANDALIA
Zip Code 63382

Improve Information

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Dataset Information

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.

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