KIRKSVILLE MISSOURI HOSPTIAL COMPANY LLC (NPI# 1396718649) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1396718649 |
| Entity Type | Organization |
| Organization Name | KIRKSVILLE MISSOURI HOSPTIAL COMPANY LLC |
| Other Organization Name | NORTHEAST REGIONAL MEDICAL CENTER |
| Practice Address |
315 S Osteopathy Kirksville MO 63501-6401 |
| Mailing Address |
Po Box 503525 Saint Louis MO 63150-3525 |
| Practice Telephone | 6607851000 |
| Enumeration Date | 2006-02-08 |
| Last Update Date | 2007-11-14 |
| Authorized Official Name | MICHAEL PORTACCI (SENIOR VP, GROUP OPERATIONS) |
| Authorized Official Telephone | 8883739600 |
| Is Organization Subpart | Y |
| Parent Organization Name | KIRKSVILLE MISSOURI HOSPTIAL COMPANY LLC |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 273Y00000X | Rehabilitation Unit | 462-4 | MO | Hospital Units |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| BCBS | 10104 | 01 |
| Other Name | Type Code |
|---|---|
| Northeast Regional Medical Center | Doing Business As Name - Organization |
| Street Address |
315 S OSTEOPATHY |
| City | KIRKSVILLE |
| State | MO |
| Zip Code | 63501-6401 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104899442 | Kirksville Missouri Hospital Company, LLC | General Acute Care Hospital | 315 S Osteopathy, Kirksville, MO 63501-6401 | 2006-02-08 |
| 1437109527 | Emcare Physician Providers, Inc. | Emergency Medicine | 315 S Osteopathy, Kirksville, MO 63501-6401 | 2006-05-11 |
| 1174572770 | Northeast Missouri Physicians Services | Emergency Medicine | 315 S Osteopathy, Kirksville, MO 63501-6401 | 2006-05-09 |
| 1871566067 | Kirksville Missouri Hospital Company LLC | Skilled Nursing Facility | 315 S Osteopathy, Kirksville, MO 63501-6401 | 2006-02-09 |
| 1932172293 | Kirksville Missouri Hospital Company, LLC | Medicare Defined Swing Bed Unit | 315 S Osteopathy, Kirksville, MO 63501-6401 | 2006-02-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245855642 | Tiffany Anna Athon | Pharmacist | Hy-vee Pharmacy, 500 N Baltimore, Kirksville, MO 63501 | 2020-06-11 |
| 1649829425 | Jillian Jo Pulis | Speech-Language Pathologist | 1300 S Cottage Ave, Kirksville, MO 63501 | 2019-09-05 |
| 1023662319 | Leah Dawn Murphy | Occupational Therapy Assistant | 1705 E La Harpe St, Kirksville, MO 63501 | 2019-07-25 |
| 1902302912 | Brittney Frances Snelling | Specialist/Technologist | 26820 State Hwy 11, Kirksville, MO 63501 | 2018-03-30 |
| 1063931434 | Kara Wehmeyer | Specialist/Technologist | 100 East Normal, Kirksville, MO 63501 | 2017-09-16 |
| 1285080796 | Hawkins Boone Mecham | General Practice | 407 S Main St # 2, Kirksville, MO 63501 | 2016-05-13 |
| 1003287848 | Lacosta Gaines | Nurse Practitioner | 1607 South Baltimore, Kirksville, MO 63501 | 2015-10-19 |
| 1427442573 | Madi Hoppe | Specialist/Technologist | 23571 Crest Trail, Kirksville, MO 63501 | 2015-03-26 |
| 1407247133 | High Hope Employment Services, Inc. | Day Training, Developmentally Disabled Services | 906 East Shepherd Avenue, Kirksville, MO 63501 | 2015-02-17 |
| 1497069694 | Ella Marie Callison | Physician Assistant | 1611 S Baltimore St Ste A, Kirksville, MO 63501 | 2010-07-29 |
| Find all providers in zip 63501 | ||||
| Taxonomy Code | 273Y00000X |
| Grouping | Hospital Units |
| Classification | Rehabilitation Unit |
| In general, a distinct unit of a general acute care hospital that provides care encompassing a comprehensive array of restoration services for the disabled and all support services necessary to help patients attain their maximum functional capacity. Source: AHA Annual Survey p. A10 1996 AHA Guide. For Medicare, a distinct part of a general acute care hospital providing inpatient rehabilitation services that meets the following requirements. Rehabilitation Units have in effect a preadmission screening procedure under which each prospective patient’s condition and medical history are reviewed to determine whether the patient is likely to benefit significantly from an intensive inpatient program or assessment; ensure that the patients receive close medical supervision and furnish, through the use of qualified personnel, rehabilitation nursing, physical therapy and occupational therapy, plus, as needed, speech therapy, social services or psychological services and orthotic and prosthetic services; have a plan of treatment for each inpatient that is established, reviewed, and revised as needed by a physician in consultation with other professional personnel who provide services to the patient; use a coordinated multidisciplinary team approach in the rehabilitation of each inpatient, as documented by periodic clinical entries made in the patient’s medical record to note the patient's status in relationship to goal attainment, and that team conferences are held at least every two weeks to determine the appropriateness of treatment; have a director of rehabilitation who provides services to the unit and its inpatients for at least 20 hours a week, is a doctor of medicine or osteopathy, is licensed under State law to practice medicine or surgery, and has had, after completing a one-year hospital internship at least two years of training or experience in the medical management of inpatients requiring rehabilitation services. |
| Notes: Source: Code of Federal Regulations #42, Section 412.29. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457864944 | Mcclay Health and Rehab LLC | Rehabilitation Unit | 3801 Mcclay Rd, Saint Peters, MO 63376-7327 | 2017-11-07 |
| 1841385093 | Heartland Regional Medical Center | Rehabilitation Unit | 5325 Faraon, Saint Joseph, MO 64506-3398 | 2006-10-04 |
| 1790239895 | Karin Derigne | Rehabilitation Unit | 1101 Highway K, O Fallon, MO 63366-8431 | 2016-08-08 |
| 1801275466 | Harley Grant Beck | Rehabilitation Unit | 3950 Newman Rd, Joplin, MO 64801-1512 | 2015-05-28 |
| 1134506611 | Department of Veterans Affairs | Rehabilitation Unit | 915 N Grand Blvd, Saint Louis, MO 63106-1621 | 2015-05-04 |
| 1033596234 | Hannibal Regional Healthcare System Inc | Rehabilitation Unit | 6000 Hospital Dr, Hannibal, MO 63401-6887 | 2015-04-27 |
| 1962809947 | Prime Healthcare Services Blue Springs, LLC | Rehabilitation Unit | 201 Nw R D Mize Rd, Blue Springs, MO 64014-2513 | 2014-11-19 |
| 1558767624 | Prime Healthcare Services Kansas City, LLC | Rehabilitation Unit | 1000 Carondelet Dr, Kansas City, MO 64114-4673 | 2014-11-17 |
| 1063700862 | Springfield Neurological and Spine Institute | Rehabilitation Unit | 3535 S National Ave, Springfield, MO 65807-7310 | 2011-07-13 |
| 1508192543 | Mercy Hospital Joplin | Rehabilitation Unit | 2817 Saint Johns Blvd, Joplin, MO 64804-1563 | 2009-10-27 |
| Find all providers with the same taxonomy | ||||
| City | KIRKSVILLE |
| Zip Code | 63501 |
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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.