COOPER COUNTY MEMORIAL HOSPITAL (NPI# 1487807657) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1487807657 |
| Entity Type | Organization |
| Organization Name | COOPER COUNTY MEMORIAL HOSPITAL |
| Practice Address |
17651 B Hwy Boonville MO 65233-2839 |
| Practice Telephone | 6608827461 |
| Practice Fax Number | 6608826093 |
| Enumeration Date | 2008-10-31 |
| Last Update Date | 2008-10-31 |
| Authorized Official Name | BRENDA CAMPBELL (CFO) |
| Authorized Official Telephone | 6608827461 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 282NR1301X |
General Acute Care Hospital Specialization: Rural |
24836 | MO | Hospitals |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811332935 | Cooper County Memorial Hospital | Clinic/Center | 108 Market St, Glasgow, MO 65254-1053 | 2013-05-02 |
| 1306066162 | Cooper County Memorial Hospital | Skilled Nursing Facility | 17651 B Hwy, Boonville, MO 65233-2839 | 2007-04-26 |
| 1871626234 | Cooper County Memorial Hospital | Clinic/Center | 600 W Morrison St, Suite 5, Fayette, MO 65248-1075 | 2007-03-14 |
| Street Address |
17651 B HWY |
| City | BOONVILLE |
| State | MO |
| Zip Code | 65233-2839 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730178864 | Pinnacle Regional Hospital, LLC | General Acute Care Hospital | 17651 B Hwy, Boonville, MO 65233 | 2005-10-20 |
| 1780160366 | Pinnacle Regional Hospital, LLC | Family Medicine | 17651 B Hwy, Boonville, MO 65233-2839 | 2018-07-17 |
| 1003247537 | Meramec Emergency Physicians, LLP | Hospitalist | 17651 B Hwy, Boonville, MO 65233-2839 | 2013-12-10 |
| 1447562871 | Danielle Christine Woodson | Occupational Therapist | 17651 B Hwy, Boonville, MO 65233-2839 | 2010-07-14 |
| 1285838037 | Nancy Marie Aldrich | Dietitian, Registered | 17651 B Hwy, Boonville, MO 65233-2839 | 2007-06-14 |
| 1548480601 | Pinnacle Regional Hospital, LLC | Medicare Defined Swing Bed Unit | 17651 B Hwy, Boonville, MO 65233 | 2007-04-30 |
| 1306066162 | Cooper County Memorial Hospital | Skilled Nursing Facility | 17651 B Hwy, Boonville, MO 65233-2839 | 2007-04-26 |
| 1487726121 | Nancy Meyer | Nurse Practitioner | 17651 B Hwy, Boonville, MO 65233-2839 | 2006-11-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750788022 | Aneisa Lynn Sherrill-mattox | Social Worker | 413 E Spring Street, Boonville, MO 65233 | 2014-12-02 |
| 1427216555 | Boonville Residential LLC | Assisted Living Facility | 600 Rankin Mill Lane, Boonville, MO 65233 | 2008-05-27 |
| 1851593479 | Cooper County Ambulance District | Ambulance | 17651 B Highway, Boonville, MO 65233 | 2007-06-05 |
| 1538181409 | Dancing Horizon Health Foundation, Inc. | Family Medicine | 2400 Boonslick Drive, Boonville, MO 65233 | 2006-07-23 |
| 1588697965 | Dialysis Clinic Inc. | Clinic/Center | 600 Rankin Mill Ln, Boonville, MO 65233 | 2006-07-08 |
| 1295767275 | Boonville No 1 Inc | Skilled Nursing Facility | 1450 W Ashley Rd, Boonville, MO 65233 | 2006-07-07 |
| 1710477187 | Ashlyn Elizabeth Sappington | Dental Hygienist | 1115 Main St, Boonville, MO 65233 | 2018-05-11 |
| 1083825988 | Harold K Hombs | Dentist | 1115 Main, Boonville, MO 65233 | 2007-05-24 |
| 1154454551 | Pinnacle Regional Hospital,llc | Clinic/Center | 17601 B Hwy, Boonville, MO 65233 | 2007-03-14 |
| 1750421418 | Robin Bernice Rooney | Marriage & Family Therapist | 301 Main St, Boonville, MO 65233 | 2007-02-08 |
| Find all providers in zip 65233 | ||||
| Taxonomy Code | 282NR1301X |
| Grouping | Hospitals |
| Classification | General Acute Care Hospital |
| Specialization | Rural |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396296893 | Rebekah Christian | General Acute Care Hospital | 39 Mckenzie Rd, High Hill, MO 63350-2907 | 2016-10-19 |
| 1477891406 | Do Not Use | General Acute Care Hospital | 217 Physicians Park Dr, Poplar Bluff, MO 63901-3956 | 2013-01-25 |
| 1548546138 | Black River Community Medical Center | General Acute Care Hospital | 217 Physicians Park Drive, Poplar Bluff, MO 63901-3956 | 2011-10-26 |
| 1992807952 | Irsa Wood Jackson | General Acute Care Hospital | 12 Willow Brook Dr, Saint Louis, MO 63146-5678 | 2006-09-01 |
| 1598710097 | Cah Acquisition Company 6 LLC | General Acute Care Hospital | 105 Hospital Drive, Sweet Springs, MO 65351-2229 | 2006-05-23 |
| 1427506039 | Phelps County Regional Medical Center | General Acute Care Hospital | 1000 W 10th St, Rolla, MO 65401-2905 | 2016-09-13 |
| 1114379153 | Pemiscot Memorial Health System | General Acute Care Hospital | 946 E Reed St, Hayti, MO 63851-1243 | 2016-07-01 |
| 1205296381 | Excelsior Springs Hospital | General Acute Care Hospital | 1700 Rainbow Blvd, Excelsior Springs, MO 64024-1182 | 2016-03-02 |
| 1659764595 | John J. Pershing Vamc | General Acute Care Hospital | 1500 N Westwood Blvd, Poplar Bluff, MO 63901-3318 | 2015-03-17 |
| 1902145436 | Ozarks Medical Center | General Acute Care Hospital | 1111 N Kentucky Ave, West Plains, MO 65775-2028 | 2013-02-04 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on COOPER COUNTY MEMORIAL HOSPITAL.
| 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.