KENNETT HMA LLC (NPI# 1083655757) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1083655757 |
| Entity Type | Organization |
| Organization Name | KENNETT HMA LLC |
| Other Organization Name | TWIN RIVERS REGIONAL MEDICAL CENTER |
| Practice Address |
1301 1st St Kennett MO 63857-2525 |
| Practice Telephone | 5738888421 |
| Practice Fax Number | 5738885525 |
| Mailing Telephone | 5738888421 |
| Mailing Fax Number | 5738885525 |
| Enumeration Date | 2006-06-10 |
| Last Update Date | 2018-03-09 |
| Authorized Official Name | PAULA M LALOR (DIRECTOR/DELEGATED OFFICIAL) |
| Authorized Official Telephone | 6159254565 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 273R00000X | Psychiatric Unit | Hospital Units |
| Other Name | Type Code |
|---|---|
| Twin Rivers Regional Medical Center | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205883980 | Kennett Hma LLC | Pediatrics | 1301 1st St, Kennett, MO 63857-2525 | 2006-05-28 |
| 1205387024 | Kennett Hma LLC | Clinic/Center | 1231 1st St, Kennett, MO 63857-2527 | 2016-10-17 |
| 1265847982 | Kennett Hma LLC | Obstetrics & Gynecology | 509 South Byp, Kennett, MO 63857-3248 | 2014-06-23 |
| 1801201520 | Kennett Hma LLC | Family Medicine | 1231 1st St, Suite 5, Kennett, MO 63857-2527 | 2014-06-23 |
| 1477821684 | Kennett Hma LLC | Clinic/Center | 1231 1st St, Suite 5, Kennett, MO 63857-2527 | 2011-12-02 |
| 1851618011 | Kennett Hma LLC | Pediatrics | 1312 1st St, Kennett, MO 63857-2526 | 2010-04-28 |
| 1023342987 | Kennett Hma LLC | Clinic/Center | 509 South Byp, Kennett, MO 63857-3248 | 2009-09-25 |
| 1447291117 | Kennett Hma LLC | Rehabilitation Unit | 1301 1st St, Kennett, MO 63857-2525 | 2006-06-10 |
| Street Address |
1301 1ST ST |
| City | KENNETT |
| State | MO |
| Zip Code | 63857-2525 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205883980 | Kennett Hma LLC | Pediatrics | 1301 1st St, Kennett, MO 63857-2525 | 2006-05-28 |
| 1639539141 | Mallory Elizabeth Stith | Nurse Anesthetist, Certified Registered | 1301 1st St, Kennett, MO 63857-2525 | 2016-02-25 |
| 1699141903 | Justin Smith | Nurse Anesthetist, Certified Registered | 1301 1st St, Kennett, MO 63857-2525 | 2015-08-20 |
| 1043692528 | Savannah Coin | Nurse Practitioner | 1301 1st St, Kennett, MO 63857-2525 | 2015-06-22 |
| 1962844522 | Gary Mark Wilson | Nurse Practitioner | 1301 1st St, Kennett, MO 63857-2525 | 2013-07-24 |
| 1073850863 | Missouri Emergency Physician Partners LLC | Emergency Medicine | 1301 1st St, Kennett, MO 63857-2525 | 2013-01-14 |
| 1992067185 | J & M Anesthesia LLC | Nurse Anesthetist, Certified Registered | 1301 1st St, Kennett, MO 63857-2525 | 2012-06-13 |
| 1699073486 | Premier Hospitalist Group LLC | Hospitalist | 1301 1st St, Kennett, MO 63857-2525 | 2011-03-03 |
| 1760707616 | Southern Emergency Services I Plc | Emergency Medicine | 1301 1st St, Kennett, MO 63857-2525 | 2010-04-05 |
| 1619290335 | Southern Emergency Services Pllc | Emergency Medicine | 1301 1st St, Kennett, MO 63857-2525 | 2010-03-09 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992278139 | Fancilla Adams | Counselor | 925 State Highway V V, Kennett, MO 63857 | 2019-01-10 |
| 1962994418 | Kiana Alexis Brown | Behavior Technician | 925 Highway W, Kennett, MO 63857 | 2018-05-31 |
| 1568953636 | Doctors Health Group, Inc | Family Medicine | 1312 First Street, Kennett, MO 63857 | 2018-05-24 |
| 1003328873 | Ann Graf | Counselor | 925 Vv, Kennett, MO 63857 | 2017-11-01 |
| 1457872160 | Jessica Luster | Technician, Other | 1109 Jones St., Kennett, MO 63857 | 2017-07-03 |
| 1235669128 | Chandra Celeste Perkins-shannon | Case Manager/Care Coordinator | 925 Hwy V, Kennett, MO 63857 | 2017-06-14 |
| 1467991612 | Sarah Lobdell | Case Manager/Care Coordinator | 925 State Highway Vv, Kennett, MO 63857 | 2017-02-21 |
| 1881132900 | Brandy Rios | Community Health Worker | 935 State Hwy Vv, Kennett, MO 63857 | 2017-02-09 |
| 1295272060 | Johnny Marie Johnson | Case Manager/Care Coordinator | 925 Hwy Vv Family Counseling Center, Kennett, MO 63857 | 2017-01-31 |
| 1043756364 | Heather Bowman | Case Manager/Care Coordinator | 875 Hwy Vv, Kennett, MO 63857 | 2017-01-10 |
| Find all providers in zip 63857 | ||||
| Taxonomy Code | 273R00000X |
| Grouping | Hospital Units |
| Classification | Psychiatric Unit |
| In general, a distinct unit of a hospital that provides acute or long-term care to emotionally disturbed patients, including patients admitted for diagnosis and those admitted for treatment of psychiatric problems on the basis of physicians' orders and approved nursing care plans. Long-term care may include intensive supervision to the chronically mentally ill, mentally disordered or other mentally incompetent persons; (2) For Medicare, a distinct part of a general acute care hospital admitting only patients whose admission to the unit is required for active treatment, whose treatment is of an intensity that can be provided only in an inpatient hospital setting, and whose condition is described by a psychiatric principal diagnosis contained in the Third Edition of the American Psychiatric Association Diagnostic and Statistical Manual or in Chapter 5 (Mental Disorders) of the International Classification of Diseases, Ninth Revision, Clinical Modification (ICD-9-CM). The unit must furnish, through the use of qualified personnel, psychological services, social work services, psychiatric nursing, occupational therapy, and recreational therapy. The unit must maintain medical records that permit determination of the degree and intensity of treatment provided to individuals who are furnished services in the unit; the unit must meet special staff requirements in that the unit must have adequate numbers of qualified professional and supportive staff to evaluate inpatients, formulate written, individualized, comprehensive treatment plans, provide active treatment measures and engage in discharge planning. |
| Notes: Source: (1) AHA Annual Survey p. A10 1996 AHA Guide; (2) Code of Federal Regulations #42, Section 412.27. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033499256 | University of Missori Health System | Psychiatric Unit | Dept of Medicine Univ of Missouri, One Hospital Drive Ne402, Columbia, MO 65212-0001 | 2011-08-18 |
| 1629391636 | Farmington Missouri Hospital Company, LLC | Psychiatric Unit | 1212 Weber St., Farmington, MO 63640-3325 | 2010-03-04 |
| 1346312873 | Phelps County Regional Medical Center | Psychiatric Unit | 1000 West 1oth Street, Rolla, MO 65401 | 2006-11-13 |
| 1700831724 | Poplar Bluff Regional Medical Center LLC | Psychiatric Unit | 3100 Oak Grove Rd., Poplar Bluff, MO 63901 | 2006-05-24 |
| 1912989351 | Cass Medical Center | Psychiatric Unit | 1800 E Mechanic St, Harrisonville, MO 64701-2017 | 2005-11-18 |
| 1124012356 | Columbia Regional Hospital - Psychiatric Unit | Psychiatric Unit | 404 Keene St, Columbia, MO 65201-6626 | 2005-09-02 |
| 1023017746 | St Alexius Hospital Corporation 1 | Psychiatric Unit | 3933 S Broadway, Saint Louis, MO 63118-4601 | 2005-07-14 |
| 1427661792 | Noble Health Fulton Inc. | Psychiatric Unit | 10 S Hospital Dr, Fulton, MO 65251-2510 | 2020-08-26 |
| 1477027803 | Mosaic Medical Center - Maryville | Psychiatric Unit | 2016 S Main St, Maryville, MO 64468-2655 | 2019-01-18 |
| 1376031757 | Prime Healthcare Services - Kansas City LLC | Psychiatric Unit | 1000 Carondelet Dr, Kansas City, MO 64114-4673 | 2018-05-01 |
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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.