CAMERON NO 1 INC (NPI# 1194757112) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1194757112 |
| Entity Type | Organization |
| Organization Name | CAMERON NO 1 INC |
| Other Organization Name | QUAIL RUN HEALTH CARE CENTER |
| Practice Address |
1405 W Grand Ave Cameron MO 64429 |
| Mailing Address |
Po Box 1210 Sikeston MO 63801-1210 |
| Practice Telephone | 8166322151 |
| Practice Fax Number | 8166322999 |
| Mailing Telephone | 5734711276 |
| Mailing Fax Number | 5734728504 |
| Enumeration Date | 2006-07-07 |
| Last Update Date | 2018-08-24 |
| Authorized Official Name | DONALD B BEDELL (PRESIDENT) |
| Authorized Official Telephone | 5734711276 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 314000000X | Skilled Nursing Facility | 046603 | MO | Nursing & Custodial Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MO | 101455905 | 05 |
| Other Name | Type Code |
|---|---|
| Quail Run Health Care Center | Doing Business As Name - Organization |
| Street Address |
1405 W GRAND AVE |
| City | CAMERON |
| State | MO |
| Zip Code | 64429 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609498492 | Marci Rhea Cline | Nurse Practitioner | 901 N Walnut, Cameron, MO 64429 | 2020-05-14 |
| 1679116743 | Heartland Hearing Center | Hearing Instrument Specialist | 616 Lana, Cameron, MO 64429 | 2019-10-22 |
| 1801283601 | Sabeen Khaliq | Psychiatry & Neurology | 1600 E Evergreen Street, Cameron, MO 64429 | 2015-04-20 |
| 1982975363 | Stephanie Caldwell | Physical Therapy Assistant | 1007 Ensign, Apt. D, Cameron, MO 64429 | 2012-01-18 |
| 1568775377 | Renee K Hahn | Physical Therapy Assistant | 612 N Cedar St, Cameron, MO 64429 | 2010-07-21 |
| 1548587934 | Betsy Anne Fox Mcclure | Family Medicine | 2401 Se Hwy 36, Cameron, MO 64429 | 2010-04-26 |
| 1427239318 | Laura Leigh Harbison | Family Medicine | 221 E 7th, Cameron, MO 64429 | 2007-11-19 |
| 1750560611 | Audrey Christine Niemann | Speech-Language Pathologist | 1405 West Grand Avenue, Cameron, MO 64429 | 2007-10-29 |
| 1902097439 | Shahzad Shafique | Internal Medicine | 1600 E Evergreen St., Cameron Regional Medical Center, Cameron, MO 64429 | 2007-08-08 |
| 1376734145 | Douglas A Wyckoff Dds PC | Dentist | 1801 N Walnut, Cameron, MO 64429 | 2007-08-07 |
| Find all providers in zip 64429 | ||||
| Taxonomy Code | 314000000X |
| Grouping | Nursing & Custodial Care Facilities |
| Classification | Skilled Nursing Facility |
| (1) A skilled nursing facility is a facility or distinct part of an institution whose primary function is to provide medical, continuous nursing, and other health and social services to patients who are not in an acute phase of illness requiring services in a hospital, but who require primary restorative or skilled nursing services on an inpatient basis above the level of intermediate or custodial care in order to reach a degree of body functioning to permit self care in essential daily living. It meets any licensing or certification standards et forth by the jurisdiction where it is located. A skilled nursing facility may be a freestanding facility or part of a hospital that has been certified by Medicare to admit patients requiring subacute care and rehabilitation; (2) Provides non-acute medical and skilled nursing care services, therapy and social services under the supervision of a licensed registered nurse on a 24-hour basis. |
| Notes: Source: (1) "Glossary of terms used in managed care" Developed by the Managed Care Assembly (MCA) of Medical Group Management Association (MGMA), MGM Journal, September/October 1995, p. 64; (2) AHA Guide, 1996 Annual Survey. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982760807 | Cameron Nursing & Rehabilitation Center LLC | Skilled Nursing Facility | Road 4 Box 20, Cameron, WV 26033 | 2006-12-28 |
| 1477644714 | Mld Healthcare LLC | Skilled Nursing Facility | 801 Euclid Ave, Cameron, MO 64429-2003 | 2006-09-28 |
| 1871581439 | Winnie L. Nursing Facility | Skilled Nursing Facility | 2104 N Karnes Ave, Cameron, TX 76520-1055 | 2005-10-07 |
| 1457856775 | Cameron Opco LLC | Skilled Nursing Facility | 2202 N Travis Ave, Cameron, TX 76520 | 2018-03-28 |
| 1689112377 | South Limestone Hospital District | Skilled Nursing Facility | 2104 N Karnes Ave, Cameron, TX 76520-1055 | 2017-02-02 |
| 1790222388 | Nursing & Rehab At Cameron LLC | Skilled Nursing Facility | 801 Euclid Ave, Cameron, MO 64429-2003 | 2017-01-20 |
| 1841621026 | Jc-pc, Inc | Skilled Nursing Facility | 2202 N Travis Ave, Cameron, TX 76520-1665 | 2013-12-12 |
| 1447520929 | Sun Lakes Physical Therapy | Skilled Nursing Facility | 1111 Euclid Ave, Cameron, MO 64429-2005 | 2011-12-30 |
| 1154607661 | Winnie L Ltc Partners, Inc. | Skilled Nursing Facility | 2104 N Karnes Ave, Cameron, TX 76520-1055 | 2011-10-28 |
| 1396966305 | Missouri Veterans Commission | Skilled Nursing Facility | 1111 Euclid Ave, Cameron, MO 64429-2005 | 2007-05-01 |
| Find all providers in CAMERON | ||||
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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.