SCOTLAND COUNTY MEMORIAL HOSPITAL (NPI# 1205844982) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1205844982 |
| Entity Type | Organization |
| Organization Name | SCOTLAND COUNTY MEMORIAL HOSPITAL |
| Other Organization Name | MEMPHIS MEDICAL SERVICES |
| Practice Address |
450 E Sigler Ave Suite A Memphis MO 63555-1726 |
| Practice Telephone | 6604652828 |
| Practice Fax Number | 6604652820 |
| Mailing Telephone | 6604652828 |
| Mailing Fax Number | 6604652820 |
| Enumeration Date | 2006-08-04 |
| Last Update Date | 2014-10-15 |
| Authorized Official Name | MARICIA R DIAL (CEO) |
| Authorized Official Telephone | 6604658511 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207Q00000X | Family Medicine | Allopathic & Osteopathic Physicians | ||
| N | 207R00000X | Internal Medicine | Allopathic & Osteopathic Physicians | ||
| N | 207RR0500X |
Internal Medicine Specialization: Rheumatology |
Allopathic & Osteopathic Physicians | ||
| N | 207VX0000X |
Obstetrics & Gynecology Specialization: Obstetrics |
Allopathic & Osteopathic Physicians | ||
| N | 208600000X | Surgery | Allopathic & Osteopathic Physicians | ||
| Y | 261QR1300X |
Clinic/Center Specialization: Rural Health |
Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MO | 599750205 | 05 |
| Other Name | Type Code |
|---|---|
| MEMPHIS MEDICAL SERVICES | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568092732 | Scotland County Memorial Hospital | Family Medicine | 55682 State Highway 6, Edina, MO 63537-4267 | 2020-01-16 |
| 1891325072 | Scotland County Memorial Hospital | Clinic/Center | 55682 State Highway 6 Ste A, Edina, MO 63537-4268 | 2020-01-16 |
| 1528077534 | Scotland County Memorial Hospital | Family Medicine | 124 W Jefferson St, Wyaconda, MO 63474 | 2006-08-07 |
| 1407865132 | Scotland County Memorial Hospital | Family Medicine | Highway 63 N, Lancaster, MO 63548-0008 | 2006-08-05 |
| 1578761060 | Scotland County Memorial Hospital | Family Medicine | 450 E Sigler Ave, Suite A, Memphis, MO 63555-1726 | 2007-07-05 |
| 1295952620 | Scotland County Memorial Hospital | General Acute Care Hospital | 450 E Sigler Ave, Memphis, MO 63555-1726 | 2007-04-19 |
| 1376760702 | Scotland County Memorial Hospital | General Acute Care Hospital | 450 E Sigler Ave, Memphis, MO 63555-1726 | 2007-04-19 |
| 1861566218 | Scotland County Memorial Hospital | General Acute Care Hospital | 450 E Sigler Ave, Memphis, MO 63555-1726 | 2006-11-20 |
| 1083624647 | Scotland County Memorial Hospital | General Acute Care Hospital | 450 E Sigler Ave, Memphis, MO 63555-1726 | 2006-08-08 |
| Street Address |
450 E SIGLER AVE SUITE A |
| City | MEMPHIS |
| State | MO |
| Zip Code | 63555-1726 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235761826 | Marissa Ann Burgess | Physician Assistant | 450 E Sigler Ave, Memphis, MO 63555-1726 | 2020-02-11 |
| 1316486293 | Teresa Marie Kirchner | Nurse Practitioner | 450 E Sigler Ave, Ste A, Memphis, MO 63555-1726 | 2017-02-13 |
| 1518404847 | Scotland County Community Health Development Services, Inc. | Pharmacy | 450 E Sigler Ave, Suite A-2, Memphis, MO 63555-1726 | 2017-01-24 |
| 1619327111 | Haley Rae Shrum | Nurse Practitioner | 450 E Sigler Ave, Memphis, MO 63555-1726 | 2016-06-15 |
| 1437526258 | Jessica Christen | Nurse Practitioner | 450 E Sigler Ave, Ste A, Memphis, MO 63555-1726 | 2015-08-27 |
| 1801271788 | Sonya See | Nurse Practitioner | 450 E Sigler Ave, Ste A, Memphis, MO 63555-1726 | 2015-07-21 |
| 1962818468 | Jenna Williams | Nurse Practitioner | 450 E Sigler Ave, Ste A, Memphis, MO 63555-1726 | 2014-07-03 |
| 1841617180 | Jennifer Mcminn | Physical Therapy Assistant | 450 E Sigler Ave, Memphis, MO 63555-1726 | 2014-03-25 |
| 1881011468 | Meagan Weber | Specialist | 450 E Sigler Ave, Scotland County Hospital, Memphis, MO 63555-1726 | 2014-03-21 |
| 1114343308 | Carrie Hamner | Physical Therapist | 450 E Sigler Ave, Memphis, MO 63555-1726 | 2014-03-11 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548433485 | Pkanesthesia, Inc | Nurse Anesthetist, Certified Registered | Rt 1 Box 53, Memphis, MO 63555 | 2008-04-11 |
| 1235284167 | Darrell Lynn Monroe | Chiropractor | 107 East Monroe, Memphis, MO 63555 | 2007-01-23 |
| 1952496002 | Jeanne Kay Camden | Chiropractor | 321 North Clay, Hwy 15 North, Memphis, MO 63555 | 2006-10-04 |
| 1639190069 | Randall Tobler | Obstetrics & Gynecology | Sigler Ave, R1, Memphis, MO 63555 | 2006-07-21 |
| 1043788250 | Scotland County Pharmacy Inc | Pharmacy | 445 E Grand Ave, Memphis, MO 63555 | 2018-11-06 |
| 1093894206 | Marilyn Lee Day | Nurse Practitioner | Sigler Ave, Memphis Medical, Memphis, MO 63555 | 2006-11-06 |
| 1730293705 | Robert Wayne Jackson | Internal Medicine | Sigler Ave, Memphis, MO 63555 | 2006-08-18 |
| 1306139027 | Nicholas R Rhodes | Massage Therapist | 429 W Madison St, Memphis, MO 63555-1054 | 2011-05-27 |
| 1275709610 | Harlo Lee Donelson | Dentist | 125 S Main, Memphis, MO 63555-1423 | 2008-05-06 |
| 1801038948 | Lisa Marie Peterson | Social Worker | 215 S Main St, Memphis, MO 63555-1425 | 2009-04-06 |
| Find all providers in zip 63555 | ||||
| Taxonomy Code | 261QR1300X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Rural Health |
| Definition to come... |
| 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.