KENNETT HMA INC (NPI# 1245271915) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1245271915 |
| Entity Type | Organization |
| Organization Name | KENNETT HMA INC |
| Other Organization Name | GIDEON RURUAL HEALTH CLINIC |
| Practice Address |
1301 1st St Kennett MO 63857-2525 |
| Practice Telephone | 5738884522 |
| Mailing Telephone | 5738884522 |
| Enumeration Date | 2006-06-10 |
| Last Update Date | 2009-02-18 |
| Authorized Official Name | TIMOTHY PARRY (SR VP AND GENERAL COUNSEL) |
| Authorized Official Telephone | 2395983176 |
| Authorized Official Credential | ESQ |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QR1300X |
Clinic/Center Specialization: Rural Health |
Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MO | 596948000 | 05 |
| Other Name | Type Code |
|---|---|
| Gideon Rurual Health Clinic | Doing Business As Name - Organization |
| Street Address |
1301 1ST ST |
| City | KENNETT |
| State | MO |
| Zip Code | 63857-2525 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205883980 | Kennett Hma LLC | Pediatrics | 1301 1st St, Kennett, MO 63857-2525 | 2006-05-28 |
| 1639539141 | Mallory Elizabeth Stith | Nurse Anesthetist, Certified Registered | 1301 1st St, Kennett, MO 63857-2525 | 2016-02-25 |
| 1699141903 | Justin Smith | Nurse Anesthetist, Certified Registered | 1301 1st St, Kennett, MO 63857-2525 | 2015-08-20 |
| 1043692528 | Savannah Coin | Nurse Practitioner | 1301 1st St, Kennett, MO 63857-2525 | 2015-06-22 |
| 1962844522 | Gary Mark Wilson | Nurse Practitioner | 1301 1st St, Kennett, MO 63857-2525 | 2013-07-24 |
| 1073850863 | Missouri Emergency Physician Partners LLC | Emergency Medicine | 1301 1st St, Kennett, MO 63857-2525 | 2013-01-14 |
| 1992067185 | J & M Anesthesia LLC | Nurse Anesthetist, Certified Registered | 1301 1st St, Kennett, MO 63857-2525 | 2012-06-13 |
| 1699073486 | Premier Hospitalist Group LLC | Hospitalist | 1301 1st St, Kennett, MO 63857-2525 | 2011-03-03 |
| 1760707616 | Southern Emergency Services I Plc | Emergency Medicine | 1301 1st St, Kennett, MO 63857-2525 | 2010-04-05 |
| 1619290335 | Southern Emergency Services Pllc | Emergency Medicine | 1301 1st St, Kennett, MO 63857-2525 | 2010-03-09 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992278139 | Fancilla Adams | Counselor | 925 State Highway V V, Kennett, MO 63857 | 2019-01-10 |
| 1962994418 | Kiana Alexis Brown | Behavior Technician | 925 Highway W, Kennett, MO 63857 | 2018-05-31 |
| 1568953636 | Doctors Health Group, Inc | Family Medicine | 1312 First Street, Kennett, MO 63857 | 2018-05-24 |
| 1003328873 | Ann Graf | Counselor | 925 Vv, Kennett, MO 63857 | 2017-11-01 |
| 1457872160 | Jessica Luster | Technician, Other | 1109 Jones St., Kennett, MO 63857 | 2017-07-03 |
| 1235669128 | Chandra Celeste Perkins-shannon | Case Manager/Care Coordinator | 925 Hwy V, Kennett, MO 63857 | 2017-06-14 |
| 1467991612 | Sarah Lobdell | Case Manager/Care Coordinator | 925 State Highway Vv, Kennett, MO 63857 | 2017-02-21 |
| 1881132900 | Brandy Rios | Community Health Worker | 935 State Hwy Vv, Kennett, MO 63857 | 2017-02-09 |
| 1295272060 | Johnny Marie Johnson | Case Manager/Care Coordinator | 925 Hwy Vv Family Counseling Center, Kennett, MO 63857 | 2017-01-31 |
| 1043756364 | Heather Bowman | Case Manager/Care Coordinator | 875 Hwy Vv, Kennett, MO 63857 | 2017-01-10 |
| Find all providers in zip 63857 | ||||
| Taxonomy Code | 261QR1300X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Rural Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205387024 | Kennett Hma LLC | Clinic/Center | 1231 1st St, Kennett, MO 63857-2527 | 2016-10-17 |
| 1477821684 | Kennett Hma LLC | Clinic/Center | 1231 1st St, Suite 5, Kennett, MO 63857-2527 | 2011-12-02 |
| 1023342987 | Kennett Hma LLC | Clinic/Center | 509 South Byp, Kennett, MO 63857-3248 | 2009-09-25 |
| 1811166465 | Amy R Lockhert | Clinic/Center | 105 E Washington St, Kennett, MO 63857-2041 | 2008-02-28 |
| 1043363013 | Healthcare for Women, Inc. | Clinic/Center | 304 Teaco Rd, Suite G, Kennett, MO 63857-3266 | 2007-01-20 |
| 1992807390 | Pemiscot County Memorial Hospital | Clinic/Center | 304 Teaco Rd, Kennett, MO 63857 | 2006-09-05 |
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| 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 |
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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.