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).
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 |
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 Name | Type Code |
---|---|
PCMH Clinic | Doing Business As Name - Organization |
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 |
Street Address |
425 N GALLOWAY RD |
City | VANDALIA |
State | MO |
Zip Code | 63382-1259 |
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 |
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 |
Find all providers in zip 63382 |
Taxonomy Code | 261QR1300X |
Grouping | Ambulatory Health Care Facilities |
Classification | Clinic/Center |
Specialization | Rural Health |
Definition to come... |
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 |
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 |
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.