CEDAR COUNTY MEMORIAL HOSPITAL (NPI# 1194749713) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1194749713 |
| Entity Type | Organization |
| Organization Name | CEDAR COUNTY MEMORIAL HOSPITAL |
| Other Organization Name | CEDAR COUNTY FAMILY CLINIC |
| Practice Address |
807 Owens Mill Rd Stockton MO 65785-8359 |
| Practice Telephone | 4172765500 |
| Practice Fax Number | 4172766206 |
| Mailing Telephone | 4172765500 |
| Mailing Fax Number | 4172766206 |
| Enumeration Date | 2006-07-27 |
| Last Update Date | 2010-09-10 |
| Authorized Official Name | MS. JACKIE K BOYLES (CEO ADMINISTRATOR) |
| Authorized Official Telephone | 4172765500 |
| Is Organization Subpart | Y |
| Parent Organization Name | CEDAR COUNTY MEMORIAL HOSPITAL |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QR1300X |
Clinic/Center Specialization: Rural Health |
MO | Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| Cedar County Family Clinic | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992827273 | Cedar County Memorial Hospital | Clinic/Center | 1317 S Highway 32, El Dorado Springs, MO 64744-2037 | 2007-04-06 |
| 1508977844 | Cedar County Memorial Hospital | Home Health | 1317 S Hwy 32, El Dorado Springs, MO 64744-2302 | 2006-08-31 |
| 1881608685 | Cedar County Memorial Hospital | Clinic/Center | 1317 S. Highway 32, El Dorado Springs, MO 64744 | 2006-07-28 |
| 1720039605 | Cedar County Memorial Hospital | General Acute Care Hospital | 1401 S Park St, El Dorado Springs, MO 64744-2037 | 2006-05-15 |
| 1457474249 | Cedar County Memorial Hospital | Medicare Defined Swing Bed Unit | 1401 S Park St, El Dorado Springs, MO 64744-2037 | 2007-04-09 |
| 1275656068 | Cedar County Memorial Hospital | Clinic/Center | 807 Owens Mill Rd, Stockton, MO 65785-8359 | 2007-04-09 |
| 1619090404 | Cedar County Memorial Hospital | General Acute Care Hospital | 1401 S Park St, El Dorado Springs, MO 64744-2037 | 2007-04-09 |
| 1528130168 | Cedar County Memorial Hospital | Home Health | 1317 S. Highway 32, El Dorado Springs, MO 64744 | 2006-11-15 |
| 1437221074 | Cedar County Memorial Hospital | Home Health | 1317 S. Highway 32, El Dorado Springs, MO 64744 | 2006-11-15 |
| 1619084266 | Cedar County Memorial Hospital | Public Health or Welfare | 1317 S. Highway 32, El Dorado Springs, MO 64744 | 2006-08-23 |
| Street Address |
807 OWENS MILL RD |
| City | STOCKTON |
| State | MO |
| Zip Code | 65785-8359 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275656068 | Cedar County Memorial Hospital | Clinic/Center | 807 Owens Mill Rd, Stockton, MO 65785-8359 | 2007-04-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891017356 | Debbie Lynn Haines | Pharmacy Technician | 19 Public Square, Stockton, MO 65785 | 2010-02-24 |
| 1316003759 | Cheryl Thornton | Psychologist | 808 South St, Stockton, MO 65785 | 2006-12-29 |
| 1336192582 | Rodger S Campbell | Emergency Medicine | 106 West Blair Drive, Stockton, MO 65785 | 2006-05-18 |
| 1134109713 | Citizens Memorial Health Care Foundation | Skilled Nursing Facility | 811 Owens Mill Rd, Stockton, MO 65785 | 2006-01-19 |
| 1376865865 | Katherine Marie Hicks | Pharmacy Technician | 19 Public Square, Stockton, MO 65785 | 2010-02-24 |
| 1639212608 | Stockton R-i School District | Physical Therapist | 906 South St, Stockton, MO 65785 | 2007-02-15 |
| 1114249752 | Karen Sue Purtle | Pharmacist | 19 Public Square, Stockton, MO 65785-0189 | 2010-02-24 |
| 1801921366 | Emily F Green | Speech-Language Pathologist | 906 Sout St, Stockton R-i School District, Stockton, MO 65785-0190 | 2007-02-23 |
| 1942223649 | Troy Devon Evans | Chiropractor | 107 W Hwy 32, Suite D, Stockton, MO 65785-0384 | 2006-07-25 |
| 1962683524 | Craig Maxwell, D.d.s., P.C. | Dentist | 201 West Smith Drive, Stockton, MO 65785-0609 | 2007-11-23 |
| Find all providers in zip 65785 | ||||
| Taxonomy Code | 261QR1300X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Rural Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508841552 | Rooks County Medical Associates Pa | Clinic/Center | 623 S 2nd St, Stockton, KS 67669-1966 | 2005-12-13 |
| 1275656068 | Cedar County Memorial Hospital | Clinic/Center | 807 Owens Mill Rd, Stockton, MO 65785-8359 | 2007-04-09 |
| 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.