KIRKSVILLE MISSOURI HOSPITAL COMPANY, LLC (NPI# 1104899442) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1104899442 |
| Entity Type | Organization |
| Organization Name | KIRKSVILLE MISSOURI HOSPITAL COMPANY, LLC |
| Other Organization Name | NORTHEAST REGIONAL MEDICAL CENTER |
| Practice Address |
315 S Osteopathy Kirksville MO 63501-6401 |
| Mailing Address |
Po Box 503525 Saint Louis MO 63150-3525 |
| Practice Telephone | 6607851000 |
| Enumeration Date | 2006-02-08 |
| 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 | 282N00000X | General Acute Care Hospital | 462-4 | MO | Hospitals |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| BCBS | 10559 | 01 | |
| WAL-MART | 068 | 01 | |
| NHC | 00003296 | 01 | |
| HEALTHLINK | 116833 | 01 | |
| DEPT OF LABOR | 132726400 | 01 | |
| MO | 010601201 | 05 | |
| FAMILY HEALTH | 019600 | 01 | |
| AETNA | 0490756 | 01 | |
| IA | 0537738 | 05 | |
| BC MN/KS | 1HR81 | 01 | |
| AETNA | 6350445 | 01 | |
| BLACK LUNG | 032145400 | 01 |
| Other Name | Type Code |
|---|---|
| Northeast Regional Medical Center | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932172293 | Kirksville Missouri Hospital Company, LLC | Medicare Defined Swing Bed Unit | 315 S Osteopathy, Kirksville, MO 63501-6401 | 2006-02-08 |
| Street Address |
315 S OSTEOPATHY |
| City | KIRKSVILLE |
| State | MO |
| Zip Code | 63501-6401 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437109527 | Emcare Physician Providers, Inc. | Emergency Medicine | 315 S Osteopathy, Kirksville, MO 63501-6401 | 2006-05-11 |
| 1174572770 | Northeast Missouri Physicians Services | Emergency Medicine | 315 S Osteopathy, Kirksville, MO 63501-6401 | 2006-05-09 |
| 1871566067 | Kirksville Missouri Hospital Company LLC | Skilled Nursing Facility | 315 S Osteopathy, Kirksville, MO 63501-6401 | 2006-02-09 |
| 1396718649 | Kirksville Missouri Hosptial Company LLC | Rehabilitation Unit | 315 S Osteopathy, Kirksville, MO 63501-6401 | 2006-02-08 |
| 1932172293 | Kirksville Missouri Hospital Company, LLC | Medicare Defined Swing Bed Unit | 315 S Osteopathy, Kirksville, MO 63501-6401 | 2006-02-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245855642 | Tiffany Anna Athon | Pharmacist | Hy-vee Pharmacy, 500 N Baltimore, Kirksville, MO 63501 | 2020-06-11 |
| 1649829425 | Jillian Jo Pulis | Speech-Language Pathologist | 1300 S Cottage Ave, Kirksville, MO 63501 | 2019-09-05 |
| 1023662319 | Leah Dawn Murphy | Occupational Therapy Assistant | 1705 E La Harpe St, Kirksville, MO 63501 | 2019-07-25 |
| 1902302912 | Brittney Frances Snelling | Specialist/Technologist | 26820 State Hwy 11, Kirksville, MO 63501 | 2018-03-30 |
| 1063931434 | Kara Wehmeyer | Specialist/Technologist | 100 East Normal, Kirksville, MO 63501 | 2017-09-16 |
| 1285080796 | Hawkins Boone Mecham | General Practice | 407 S Main St # 2, Kirksville, MO 63501 | 2016-05-13 |
| 1003287848 | Lacosta Gaines | Nurse Practitioner | 1607 South Baltimore, Kirksville, MO 63501 | 2015-10-19 |
| 1427442573 | Madi Hoppe | Specialist/Technologist | 23571 Crest Trail, Kirksville, MO 63501 | 2015-03-26 |
| 1407247133 | High Hope Employment Services, Inc. | Day Training, Developmentally Disabled Services | 906 East Shepherd Avenue, Kirksville, MO 63501 | 2015-02-17 |
| 1497069694 | Ella Marie Callison | Physician Assistant | 1611 S Baltimore St Ste A, Kirksville, MO 63501 | 2010-07-29 |
| Find all providers in zip 63501 | ||||
| Taxonomy Code | 282N00000X |
| Grouping | Hospitals |
| Classification | General Acute Care Hospital |
| An acute general hospital is an institution whose primary function is to provide inpatient diagnostic and therapeutic services for a variety of medical conditions, both surgical and non-surgical, to a wide population group. The hospital treats patients in an acute phase of illness or injury, characterized by a single episode or a fairly short duration, from which the patient returns to his or her normal or previous level of activity. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295274256 | St. Lukes Health System | General Acute Care Hospital | 8101 N Lawndale Ave, Unit 2a, Kansas City, MO 64119-7808 | 2017-02-22 |
| 1093265159 | Missouri Delta Medical Center | General Acute Care Hospital | 2856 Vista Ridge Pl, Jackson, MO 63755-8105 | 2016-10-12 |
| 1285082040 | Jessica Teschner | General Acute Care Hospital | 3201 Ballard Mill Dr, Columbia, MO 65203-1875 | 2016-06-01 |
| 1912368002 | Emily Daniels | General Acute Care Hospital | 1737 Redbird Cv, Saint Louis, MO 63144-1610 | 2016-03-16 |
| 1225415417 | Parkland Veterinary Services, Inc. | General Acute Care Hospital | 615 E Karsch Blvd, Farmington, MO 63640-1225 | 2015-04-27 |
| 1841698164 | Mercy Clinic East Community | General Acute Care Hospital | 1021 Darwick Ct, Saint Louis, MO 63132-2909 | 2014-12-18 |
| 1831523695 | Saint Francis Medical Center | General Acute Care Hospital | 150 South Mount Auburn Road, Suite 342, Cape Girardeau, MO 63703 | 2013-08-29 |
| 1730528662 | Barnes Jewish Hospital | General Acute Care Hospital | 4512 Cleveland Ave, Apt 12, Saint Louis, MO 63110-3318 | 2013-06-25 |
| 1366796757 | Barnes Jewish Hospital | General Acute Care Hospital | 2180 Splendor Dr, Florissant, MO 63031-2640 | 2012-11-06 |
| 1952651341 | Faisal Alasmari | General Acute Care Hospital | 13928 Reflection Drive, Reflection Cove Apartments, Apt#235, Ballwin, MO 63021 | 2012-09-13 |
| Find all providers with the same taxonomy | ||||
| City | KIRKSVILLE |
| Zip Code | 63501 |
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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.