RAY COUNTY MEMORIAL HOSPITAL (NPI# 1245220052) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1245220052 |
| Entity Type | Organization |
| Organization Name | RAY COUNTY MEMORIAL HOSPITAL |
| Practice Address |
904 Wollard Blvd Richmond MO 64085-2229 |
| Practice Telephone | 8164705432 |
| Practice Fax Number | 8164708382 |
| Mailing Telephone | 8164705432 |
| Mailing Fax Number | 8164708382 |
| Enumeration Date | 2005-10-24 |
| Last Update Date | 2019-10-10 |
| Authorized Official Name | MR. EARL N SHEEHY (ADMINISTRATOR) |
| Authorized Official Telephone | 8164705432 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 275N00000X | Medicare Defined Swing Bed Unit | Hospital Units | ||
| Y | 282NC0060X |
General Acute Care Hospital Specialization: Critical Access |
Hospitals |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MO | 540491701 | 05 | |
| BLUE CROSS -UB | 90052014 | 01 | |
| MO | 010491702 | 05 | |
| BLUE CROSS-1500 | 01514018 | 01 | |
| PREFERRED CARE HEALTHLINK | 114311 | 01 | |
| AETNA | 6350600 | 01 | |
| SNF | 90267015 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477543361 | Ray County Memorial Hospital | Home Health | 916 Wollard Blvd, Richmond, MO 64085-2229 | 2005-10-24 |
| 1013233774 | Ray County Memorial Hospital | Hospice Care, Community Based | 904 Wollard Blvd, Richmond, MO 64085-2229 | 2010-04-20 |
| Street Address |
904 WOLLARD BLVD |
| City | RICHMOND |
| State | MO |
| Zip Code | 64085-2229 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295336428 | Devanne Landwehr | Pharmacist | 904 Wollard Blvd, Richmond, MO 64085-2229 | 2020-11-04 |
| 1639543242 | Lindsay Collins | Pharmacist | 904 Wollard Blvd, Richmond, MO 64085-2229 | 2015-11-19 |
| 1558741496 | Trisha Jackson | Dietitian, Registered | 904 Wollard Blvd, Richmond, MO 64085-2229 | 2015-06-05 |
| 1366875379 | Robert E Burton | Pharmacist | 904 Wollard Blvd, Richmond, MO 64085-2229 | 2013-08-13 |
| 1376986901 | James Brian Smith | Family Medicine | 904 Wollard Blvd, Richmond, MO 64085-2229 | 2013-04-13 |
| 1013233774 | Ray County Memorial Hospital | Hospice Care, Community Based | 904 Wollard Blvd, Richmond, MO 64085-2229 | 2010-04-20 |
| 1326270786 | Meritas Health Corporation | Internal Medicine | 904 Wollard Blvd, Richmond, MO 64085-2229 | 2009-08-19 |
| 1043340094 | Daniel R Mrosak Md PC | Surgery | 904 Wollard Blvd, Richmond, MO 64085-2229 | 2007-03-07 |
| 1578676565 | Glen Georger | Emergency Medicine | 904 Wollard Blvd, Richmond, MO 64085-2229 | 2006-08-16 |
| 1235191321 | Lei Guan | Emergency Medicine | 904 Wollard Blvd, Ray County Memorial Hospital, Richmond, MO 64085-2229 | 2006-04-04 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851855027 | Martin Lee Mccrary | Counselor | 108 Wn Main, Richmond, MO 64085 | 2019-01-22 |
| 1265885792 | Special Needs Services of Ray County | Case Manager/Care Coordinator | 810 E Main Street, Richmond, MO 64085 | 2016-07-20 |
| 1669849170 | Sandra Gayle Johnson | Speech-Language Pathologist | 749 Driskill Drive, Richmond, MO 64085 | 2015-09-01 |
| 1386059533 | Missouri Cvs Pharmacy, L.L.C. | Durable Medical Equipment & Medical Supplies | 320 E Lexington St, Richmond, MO 64085 | 2014-06-26 |
| 1114357761 | Duffett Holdings LLC | Pharmacy | 508 Johnny Walker Lane, Suite B, Richmond, MO 64085 | 2013-11-18 |
| 1841319928 | Jeanne M De Motte | Emergency Medicine | 904 Wollard Blvd., Richmond, MO 64085 | 2007-03-28 |
| 1285785022 | Steven Wesley Fawks | Dentist | 205 Spartan Dr, Richmond, MO 64085 | 2007-01-16 |
| 1215088968 | Steven W Fawks Dds PC | Dentist | 205 S Spartan Dr, Richmond, MO 64085 | 2007-01-16 |
| 1891892980 | Ray County Health Department | Public Health or Welfare | 820 East Lexington Street, Richmond, MO 64085 | 2006-09-20 |
| 1275557878 | Jamie Sue Honeycutt | Family Medicine | 420 Wollard Blvd, Richmond, MO 64085 | 2006-07-27 |
| Find all providers in zip 64085 | ||||
| Taxonomy Code | 282NC0060X |
| Grouping | Hospitals |
| Classification | General Acute Care Hospital |
| Specialization | Critical Access |
| Definition to come. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164772216 | Methodist West Houston Hospital | General Acute Care Hospital | 5807 Grand Saline Dr, Richmond, TX 77469-6173 | 2012-09-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356689905 | Southeast Health Center of Reynolds County LLC | General Acute Care Hospital | 100 Hwy 21, Ellington, MO 63638-7943 | 2013-01-16 |
| 1467789222 | Va Medical Center In St.louis | General Acute Care Hospital | 9830 Eastdell Dr, Saint Louis, MO 63136-1915 | 2009-11-14 |
| 1750512042 | Vicky Laurine Simbro | General Acute Care Hospital | 4505 Cove Rd, Osage Beach, MO 65065-2307 | 2009-08-04 |
| 1710177480 | Wisam Hassan Ali Al Badr | General Acute Care Hospital | 3635 Grand Blvd, Saint Louis, MO 63110-2539 | 2007-07-30 |
| 1619179561 | Saint Louis University Medical Center | General Acute Care Hospital | 1402 S Grand Blvd # M238, Saint Louis, MO 63104-1004 | 2007-06-04 |
| 1962578609 | Hermann Area Hospital District | General Acute Care Hospital | 509 West 18th St, Hermann, MO 65041 | 2006-11-27 |
| 1477648178 | Iron County Hospital District | General Acute Care Hospital | 301 N Highway 21, Pilot Knob, MO 63663-0548 | 2006-10-04 |
| 1023053477 | Mercy St. Francis Hospital | General Acute Care Hospital | 100 West Highway 60, Mountain View, MO 65548 | 2006-06-19 |
| 1912948308 | Saint Lukes Hospital of Chillicothe | General Acute Care Hospital | 2799 N Washington, Chillicothe, MO 64601-2902 | 2006-06-09 |
| 1720039605 | Cedar County Memorial Hospital | General Acute Care Hospital | 1401 S Park St, El Dorado Springs, MO 64744-2037 | 2006-05-15 |
| 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.