ST. CLAIR COUNTY HOSPITAL DISTRICT NO. 1 (NPI# 1396827804) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1396827804 |
Entity Type | Organization |
Organization Name | ST. CLAIR COUNTY HOSPITAL DISTRICT NO. 1 |
Other Organization Name | SAC-OSAGE HOSPITAL TRI-COUNTY CLINIC |
Practice Address |
855 Arduser Dr Osceola MO 64776-6278 |
Mailing Address |
855 Arduser Dr P.o. Box 560 Osceola MO 64776-6278 |
Practice Telephone | 4176468153 |
Practice Fax Number | 4176468515 |
Mailing Telephone | 4176468153 |
Mailing Fax Number | 4176468515 |
Enumeration Date | 2006-10-20 |
Last Update Date | 2020-08-22 |
Authorized Official Name | MRS. JANA WITT (INTERIM ADMINISTRATOR) |
Authorized Official Telephone | 4176468181 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 261QR1300X |
Clinic/Center Specialization: Rural Health |
24238 | MO | Ambulatory Health Care Facilities |
Other Name | Type Code |
---|---|
Sac-Osage Hospital Tri-County Clinic | Doing Business As Name - Organization |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1134304603 | St. Clair County Hospital District No. 1 | Clinic/Center | 700 Giesler Rd, Osceola, MO 64776-6279 | 2008-01-03 |
Street Address |
855 ARDUSER DR |
City | OSCEOLA |
State | MO |
Zip Code | 64776-6278 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1962027862 | Kayla Cumpton | Counselor | 855 Arduser Dr, Osceola, MO 64776-6278 | 2020-06-16 |
1093228850 | Crystal Lynn Lacavera | Nurse Practitioner | 855 Arduser Dr, Osceola, MO 64776-6278 | 2017-11-14 |
1578961454 | Citizens Memorial Healthcare | Clinic/Center | 855 Arduser Dr, Osceola, MO 64776-6278 | 2014-12-09 |
1063810125 | Citizens Memorial Health Care Foundation | Pharmacy | 855 Arduser Dr, Osceola, MO 64776-6278 | 2014-12-05 |
1538321906 | Beverly D Wombold | Nurse Practitioner | 855 Arduser Dr, Osceola, MO 64776-6278 | 2008-06-27 |
1760501647 | St. Clair County Hospital District #l | Durable Medical Equipment & Medical Supplies | 855 Arduser Dr, Osceola, MO 64776-6278 | 2007-03-29 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1134753593 | Friends of The St. Clair County Senior Center | Clinic/Center | 5345 Bus Hwy 13 Ne, Osceola, MO 64776 | 2020-02-25 |
1801375142 | Jill Nicole Keister | Licensed Practical Nurse | 3305 Ne 351 Private Road, Osceola, MO 64776 | 2018-08-08 |
1073689964 | Buford K Casebalt | Dentist | 286 Chestnut, Osceola, MO 64776 | 2006-11-24 |
1518979392 | Neil E Hoyal | Family Medicine | 855 Arduser Drive, Osceola, MO 64776 | 2006-08-12 |
1669413894 | Valerie B Weaver | Nurse Practitioner | 101 Giesler Drive, Osceola, MO 64776 | 2006-06-09 |
1124437918 | Golden Valley Memorial Hospital District | Nurse Practitioner | 286 Chestnut Street, Osceola, MO 64776-0566 | 2014-08-06 |
1063817484 | Nicole Wood | Physical Therapist | 5170 Ne 50 Rd, Osceola, MO 64776-2619 | 2014-10-28 |
1275048324 | Access Dental & Dentures LLC | Dentist | 286 Chestnut St, Osceola, MO 64776-2930 | 2017-12-12 |
1164875191 | Laura Noble | Nurse Practitioner | 286 Chestnut St, Osceola, MO 64776-2930 | 2016-07-14 |
1609398023 | Jace David Moore | Pharmacist | 675 3rd St, Osceola, MO 64776-2934 | 2017-07-07 |
Find all providers in zip 64776 |
Taxonomy Code | 261QR1300X |
Grouping | Ambulatory Health Care Facilities |
Classification | Clinic/Center |
Specialization | Rural Health |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1740700533 | Iowa Physicians Clinic Medical Foundation | Clinic/Center | 800 S Fillmore St Ste A, Osceola, IA 50213-1619 | 2017-06-22 |
1598945867 | Community Memorial Hospital | Clinic/Center | 101 Giesler Dr, Osceola, MO 64776-6297 | 2007-11-05 |
1861609570 | Sumner R Cullom M D P A | Clinic/Center | 700 W Keiser Ave, Osceola, AR 72370-3506 | 2007-05-16 |
1073129755 | Mississippi County Hospital System | Clinic/Center | 602 W Union Ave Ste B, Osceola, AR 72370-3022 | 2020-09-18 |
1801394549 | Ladd Memorial Hospital | Clinic/Center | 2600 65th Ave, Osceola, WI 54020-4370 | 2018-01-29 |
1578961454 | Citizens Memorial Healthcare | Clinic/Center | 855 Arduser Dr, Osceola, MO 64776-6278 | 2014-12-09 |
1689973620 | Osceola Rural Health Clinic LLC | Clinic/Center | 101 Giesler Drive, Osceola, MO 64776-6297 | 2011-03-16 |
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.