HARTVILLE MEDICAL CENTER INC (NPI# 1518902352) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1518902352 |
| Entity Type | Organization |
| Organization Name | HARTVILLE MEDICAL CENTER INC |
| Practice Address |
275 S School Ave Hartville MO 65667 |
| Mailing Address |
275 S School Ave Hartville MO 65667-8406 |
| Practice Telephone | 4177417484 |
| Practice Fax Number | 4177417482 |
| Mailing Telephone | 4177417484 |
| Mailing Fax Number | 4177417482 |
| Enumeration Date | 2006-06-17 |
| Last Update Date | 2018-06-13 |
| Authorized Official Name | MR. WILLIAM E BERNER (CLINIC ADMINISTRATOR) |
| Authorized Official Telephone | 9898927722 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207Q00000X | Family Medicine | Allopathic & Osteopathic Physicians | ||
| Y | 261QR1300X |
Clinic/Center Specialization: Rural Health |
Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MO | BLUE CROSS | 110115 | 01 |
| RAIL ROAD MEDICARE | 080110949 | 01 | |
| MO | BLUE CROSS | 31512 | 01 |
| MO | 598599504 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609949403 | Hartville Medical Center Inc | General Practice | 275 S School Ave, Hartville, MO 65667 | 2006-11-17 |
| Street Address |
275 S SCHOOL AVE |
| City | HARTVILLE |
| State | MO |
| Zip Code | 65667 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669889390 | Timothy Hubbard | Physician Assistant | 275 S School Ave, Hartville, MO 65667-8406 | 2014-07-15 |
| 1609949403 | Hartville Medical Center Inc | General Practice | 275 S School Ave, Hartville, MO 65667 | 2006-11-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730481664 | Kim Bushnell | Speech-Language Pathologist | 175 N School Ave, Hartville, MO 65667 | 2010-11-29 |
| 1558790410 | Baker Drug LLC | Pharmacy | 118 E. Rolla Street, Hartville, MO 65667-0056 | 2013-11-01 |
| 1437235397 | Star Pharmacy, Inc. | Pharmacist | 118 East Rolla St, Hartville, MO 65667-0069 | 2006-10-31 |
| 1841360880 | County of Wright Division of Health | Public Health or Welfare | 300 South Main, Hartville, MO 65667-0097 | 2006-11-08 |
| 1972817690 | Hartville R-ii School District | Local Education Agency (LEA) | 175 N School Ave, Hartville, MO 65667-0460 | 2010-08-05 |
| 1457864209 | Brittany Horn | Speech-Language Pathologist | 4927 Highway 5, Hartville, MO 65667-7299 | 2017-11-14 |
| 1497778971 | Rodney Eugene Bowers | Internal Medicine | 6585 Highway H, Hartville, MO 65667-8142 | 2006-07-25 |
| 1063467900 | Hartville Care and Rehabilitation Center Inc | Skilled Nursing Facility | 649 W Rolla St, Hartville, MO 65667-8221 | 2006-05-22 |
| 1275962888 | N & R of Hartville, LLC | Skilled Nursing Facility | 649 W Rolla St, Hartville, MO 65667-8221 | 2013-11-04 |
| 1801096631 | Jason Kirk Smith | Occupational Therapist | 649 W Rolla St, Hartville, MO 65667-8221 | 2007-07-19 |
| Find all providers in zip 65667 | ||||
| Taxonomy Code | 261QR1300X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Rural Health |
| Definition to come... |
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| 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.