SALEM MEMORIAL HOSPITAL (NPI# 1114177557) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1114177557 |
| Entity Type | Organization |
| Organization Name | SALEM MEMORIAL HOSPITAL |
| Other Organization Name | SMDH FAMILY MEDICINE |
| Practice Address |
35629 Hwy. 72 Bld. 3 Salem MO 65560-0719 |
| Mailing Address |
P.o. Box 719 Salem MO 65560-0719 |
| Practice Telephone | 5737396020 |
| Practice Fax Number | 5737396021 |
| Mailing Telephone | 5737396020 |
| Mailing Fax Number | 5737396021 |
| Enumeration Date | 2008-09-23 |
| Last Update Date | 2014-02-21 |
| Authorized Official Name | MR. DENNIS P PRYOR (HOSPITAL ADMINISTRATOR) |
| Authorized Official Telephone | 5737296626 |
| Is Organization Subpart | Y |
| Parent Organization Name | SALEM MEMORIAL HOSPITAL |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QP2300X |
Clinic/Center Specialization: Primary Care |
Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| SMDH Family Medicine | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821089657 | Salem Memorial Hospital | Clinic/Center | 35629 Highway 72 Bldg II, Salem, MO 65560-7217 | 2005-11-01 |
| 1639177561 | Salem Memorial Hospital | General Acute Care Hospital | 35629 Highway 72, Salem, MO 65560-7217 | 2005-07-13 |
| 1922345800 | Salem Memorial Hospital | Clinic/Center | 35629 Highway 72, Building 1, Salem, MO 65560-7217 | 2013-01-11 |
| 1821243981 | Salem Memorial Hospital | Clinic/Center | 35629 Hwy 72, Bld. 3, Salem, MO 65560-0719 | 2008-11-17 |
| 1174596928 | Salem Memorial Hospital | Nursing Facility/Intermediate Care Facility | 35629 Highway 72, Salem, MO 65560-7217 | 2006-02-10 |
| 1881667095 | Salem Memorial Hospital | Registered Nurse | 35629 Highway 72, Salem, MO 65560-7217 | 2006-02-08 |
| 1548232283 | Salem Memorial Hospital | Emergency Medicine | 35629 Highway 72, Salem, MO 65560-7217 | 2006-02-06 |
| 1134199417 | Salem Memorial Hospital | Medicare Defined Swing Bed Unit | 35629 Highway 72, Salem, MO 65560-7217 | 2006-01-26 |
| 1053382382 | Salem Memorial Hospital | Ambulance | 35629 Highway 72, 35629 Highway 72, Salem, MO 65560-7217 | 2006-01-26 |
| 1225008543 | Salem Memorial Hospital | Clinic/Center | 35629 Highway 72, Salem, MO 65560-7217 | 2006-01-26 |
| Street Address |
35629 HWY. 72 BLD. 3 |
| City | SALEM |
| State | MO |
| Zip Code | 65560-0719 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174087985 | Brenda Gott | Nurse Practitioner | 3103 Hh Highway, Salem, MO 65560 | 2019-01-25 |
| 1174959142 | Britney Nicole Christesen | Chiropractor | 909 S Pershing Ave, Salem, MO 65560 | 2013-09-22 |
| 1245550474 | Amber Nicole Duncan | Chiropractor | 803 W 32 Hwy, Suite B, Salem, MO 65560 | 2010-06-10 |
| 1043460371 | Tina Marie Mcmullin | Counselor | 601 East Center Street, Salem, MO 65560 | 2008-09-23 |
| 1225286347 | Craig Tatom | Nurse Practitioner | Hwy 72 N Physicians Office Building II, Salem, MO 65560 | 2008-09-03 |
| 1114190576 | Jamie Johnston Wilson | Registered Nurse | Hwy 72 West, Salem, MO 65560 | 2008-04-08 |
| 1750589024 | Vicky L Gulley | Emergency Medicine | 35629 Hwy 72, Pob 1, Suite 3, Salem, MO 65560 | 2007-07-06 |
| 1275669533 | Complete Care, Inc | Durable Medical Equipment & Medical Supplies | 116 W. 4th, Salem, MO 65560 | 2007-02-23 |
| 1023083722 | Brent K. Caudill | General Practice | Hwy 72 N, Salem, MO 65560 | 2006-02-17 |
| 1750369369 | Charles W Cunningham | Family Medicine | 1010 E Scenic Rivers Blvd, Salem, MO 65560 | 2006-01-04 |
| Find all providers in zip 65560 | ||||
| Taxonomy Code | 261QP2300X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Primary Care |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588113278 | New Life Family Medicine LLC | Clinic/Center | 842 Commercial Street Ne, Salem, OR 97302 | 2016-09-23 |
| 1306274428 | Five Red Car Day LLC | Clinic/Center | 4744 Liberty Rd S, Suite 120, Salem, OR 97302-5181 | 2013-10-29 |
| 1831719244 | Abigail Bisson Nd Corp | Clinic/Center | 1205 Wallace Rd Nw, Salem, OR 97304-3007 | 2020-04-26 |
| 1326691486 | Livingston Hospital and Healthcare Services, Inc. | Clinic/Center | 117 E Main St, Salem, KY 42078-9998 | 2019-07-18 |
| 1033654793 | Phoenix Rising Family Medicine LLC | Clinic/Center | 810 Commercial St Se, Salem, OR 97302 | 2017-01-04 |
| 1689128308 | Salem Health | Clinic/Center | 2925 River Rd S, Salem, OR 97302-3677 | 2016-08-10 |
| 1356739593 | Quad Med LLC | Clinic/Center | 201 Jeans Dr, Salem, IN 47167-9200 | 2014-12-22 |
| 1871919639 | H. Thomas Harvey | Clinic/Center | 2995 Ryan Dr Se, Suite 200, Salem, OR 97301-5157 | 2014-03-17 |
| 1649522897 | Brmc Clinic At Salem, Arkansas | Clinic/Center | 106 Highway 62 W, Salem, AR 72576-8059 | 2012-10-12 |
| 1518225242 | Wvp Medical Group, LLC | Clinic/Center | 1155 Mission St Se, Suite 205, Salem, OR 97302-6228 | 2012-05-01 |
| Find all providers in SALEM | ||||
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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.