PEMISCOT MEMORIAL HEALTH SYSTEM (NPI# 1114379153) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1114379153 |
Entity Type | Organization |
Organization Name | PEMISCOT MEMORIAL HEALTH SYSTEM |
Practice Address |
946 E Reed St Hayti MO 63851-1243 |
Practice Telephone | 5733591372 |
Mailing Telephone | 5733591372 |
Enumeration Date | 2016-07-01 |
Last Update Date | 2016-07-01 |
Authorized Official Name | LINDA TAI (PHYSICIAN ASSISTANT) |
Authorized Official Telephone | 5733591372 |
Authorized Official Credential | PA-C |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 282NR1301X |
General Acute Care Hospital Specialization: Rural |
2016016697 | MO | Hospitals |
Entity Type | Entity Name | Entity Address |
---|---|---|
System for Award Management (SAM) Entities | PEMISCOT MEMORIAL HEALTH SYSTEMS | 946 E Reed, Hayti, MO 63851-1243 |
Street Address |
946 E REED ST |
City | HAYTI |
State | MO |
Zip Code | 63851-1243 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1013987510 | Lara Huffman | Psychiatry & Neurology | 946 E Reed St, Hayti, MO 63851-1243 | 2006-01-25 |
1144887001 | Faaiza Arshad | Physician Assistant | 946 E Reed St, Hayti, MO 63851-1243 | 2019-05-24 |
1386095339 | Linda Tai | Physician Assistant | 946 E Reed St, Hayti, MO 63851-1243 | 2016-06-30 |
1497069199 | Pafford Emergency Medical Services of Missouri, Inc. | Ambulance | 946 E Reed St, Hayti, MO 63851-1243 | 2010-08-05 |
1710159314 | Pemiscot County Memorial Hospital | Psychiatric Unit | 946 E Reed St, Hayti, MO 63851-1243 | 2008-03-24 |
1265602544 | David Ketchum II | Pharmacist | 946 E Reed St, Hayti, MO 63851-1243 | 2008-03-03 |
1033393335 | Hazel Radiology, LLC | Radiology | 946 E Reed St, Radiology Department, Hayti, MO 63851-1243 | 2007-12-21 |
1578668661 | Pemiscot County Memorial Hospital | Clinic/Center | 946 E Reed St, Hayti, MO 63851-1243 | 2006-09-13 |
1437251881 | Pemiscot County Memorial Hospital | General Acute Care Hospital | 946 E Reed St, Hayti, MO 63851-1243 | 2006-09-05 |
1861594004 | Pemiscot County Memorial Hospital | Nursing Facility/Intermediate Care Facility | 946 E Reed St, Hayti, MO 63851-1243 | 2006-09-01 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1619518032 | Mcpherson Medical & Diagnostic, LLC | Clinic/Center | 110 Us Hwy 61 N, Ste B, Hayti, MO 63851 | 2019-10-07 |
1225525744 | Roosevelt Dismukes Jr. | Behavior Technician | 500 Highway 61 N J, Hayti, MO 63851 | 2018-04-19 |
1417461625 | Rivian Ricole Hill | Recreation Therapist | 501 Highway 61 J N, Hayti, MO 63851 | 2017-11-27 |
1750761169 | Lindsey Moody | Case Manager/Care Coordinator | 909 East Reed Street, Hayti, MO 63851 | 2015-06-02 |
1710375811 | Jeremy Winstead | Technician, Other | 500 Highway J North, Hayti, MO 63851 | 2014-12-26 |
1164810206 | Teresa Ward | Registered Nurse | 589 Hwy J, Hayti, MO 63851 | 2014-12-23 |
1780081463 | Heather Brown | Case Manager/Care Coordinator | 581 Hwy J, Hayti, MO 63851 | 2014-11-25 |
1184029241 | Cheryl Byrd | Case Manager/Care Coordinator | 581 Highway J, Hayti, MO 63851 | 2014-10-30 |
1114320827 | Toshia Russell | Licensed Practical Nurse | 579 North Highway J, Hayti, MO 63851 | 2014-10-08 |
1992104301 | Lora Hawes | Case Manager/Care Coordinator | 581 Hwy J North, Hayti, MO 63851 | 2014-08-21 |
Find all providers in zip 63851 |
Taxonomy Code | 282NR1301X |
Grouping | Hospitals |
Classification | General Acute Care Hospital |
Specialization | Rural |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1396296893 | Rebekah Christian | General Acute Care Hospital | 39 Mckenzie Rd, High Hill, MO 63350-2907 | 2016-10-19 |
1477891406 | Do Not Use | General Acute Care Hospital | 217 Physicians Park Dr, Poplar Bluff, MO 63901-3956 | 2013-01-25 |
1548546138 | Black River Community Medical Center | General Acute Care Hospital | 217 Physicians Park Drive, Poplar Bluff, MO 63901-3956 | 2011-10-26 |
1992807952 | Irsa Wood Jackson | General Acute Care Hospital | 12 Willow Brook Dr, Saint Louis, MO 63146-5678 | 2006-09-01 |
1598710097 | Cah Acquisition Company 6 LLC | General Acute Care Hospital | 105 Hospital Drive, Sweet Springs, MO 65351-2229 | 2006-05-23 |
1427506039 | Phelps County Regional Medical Center | General Acute Care Hospital | 1000 W 10th St, Rolla, MO 65401-2905 | 2016-09-13 |
1205296381 | Excelsior Springs Hospital | General Acute Care Hospital | 1700 Rainbow Blvd, Excelsior Springs, MO 64024-1182 | 2016-03-02 |
1659764595 | John J. Pershing Vamc | General Acute Care Hospital | 1500 N Westwood Blvd, Poplar Bluff, MO 63901-3318 | 2015-03-17 |
1902145436 | Ozarks Medical Center | General Acute Care Hospital | 1111 N Kentucky Ave, West Plains, MO 65775-2028 | 2013-02-04 |
1487807657 | Cooper County Memorial Hospital | General Acute Care Hospital | 17651 B Hwy, Boonville, MO 65233-2839 | 2008-10-31 |
Find all providers with the same taxonomy |
Please comment or provide details below to improve the information on PEMISCOT MEMORIAL HEALTH SYSTEM.
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.