SALEM MEMORIAL HOSPITAL (NPI# 1548232283) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1548232283 |
| Entity Type | Organization |
| Organization Name | SALEM MEMORIAL HOSPITAL |
| Practice Address |
35629 Highway 72 Salem MO 65560-7217 |
| Mailing Address |
Po Box 774 35629 Highway 72 Salem MO 65560-0774 |
| Practice Telephone | 5737296626 |
| Practice Fax Number | 5737296502 |
| Mailing Telephone | 5737296626 |
| Mailing Fax Number | 5737296502 |
| Enumeration Date | 2006-02-06 |
| Last Update Date | 2009-11-05 |
| Authorized Official Name | MR. DENNIS P PRYOR (ADMINISTRATOR) |
| Authorized Official Telephone | 5737296626 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207P00000X | Emergency Medicine | 25234 | MO | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MO | 540570306 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114177557 | Salem Memorial Hospital | Clinic/Center | 35629 Hwy. 72, Bld. 3, Salem, MO 65560-0719 | 2008-09-23 |
| 1821089657 | Salem Memorial Hospital | Clinic/Center | 35629 Highway 72 Bldg II, Salem, MO 65560-7217 | 2005-11-01 |
| 1639177561 | Salem Memorial Hospital | General Acute Care Hospital | 35629 Highway 72, Salem, MO 65560-7217 | 2005-07-13 |
| 1922345800 | Salem Memorial Hospital | Clinic/Center | 35629 Highway 72, Building 1, Salem, MO 65560-7217 | 2013-01-11 |
| 1821243981 | Salem Memorial Hospital | Clinic/Center | 35629 Hwy 72, Bld. 3, Salem, MO 65560-0719 | 2008-11-17 |
| 1174596928 | Salem Memorial Hospital | Nursing Facility/Intermediate Care Facility | 35629 Highway 72, Salem, MO 65560-7217 | 2006-02-10 |
| 1881667095 | Salem Memorial Hospital | Registered Nurse | 35629 Highway 72, Salem, MO 65560-7217 | 2006-02-08 |
| 1134199417 | Salem Memorial Hospital | Medicare Defined Swing Bed Unit | 35629 Highway 72, Salem, MO 65560-7217 | 2006-01-26 |
| 1053382382 | Salem Memorial Hospital | Ambulance | 35629 Highway 72, 35629 Highway 72, Salem, MO 65560-7217 | 2006-01-26 |
| 1225008543 | Salem Memorial Hospital | Clinic/Center | 35629 Highway 72, Salem, MO 65560-7217 | 2006-01-26 |
| Street Address |
35629 HIGHWAY 72 |
| City | SALEM |
| State | MO |
| Zip Code | 65560-7217 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639177561 | Salem Memorial Hospital | General Acute Care Hospital | 35629 Highway 72, Salem, MO 65560-7217 | 2005-07-13 |
| 1760966188 | Mandi Nicole Parks | Nurse Practitioner | 35629 Highway 72, Salem, MO 65560-7217 | 2018-09-21 |
| 1851891709 | Jill Dean | Occupational Therapy Assistant | 35629 Highway 72, Salem, MO 65560-7217 | 2018-02-16 |
| 1902346240 | Sarah Knott | Physical Therapy Assistant | 35629 Highway 72, Salem, MO 65560-7217 | 2017-03-06 |
| 1306226998 | Zachary Moser | Pharmacist | 35629 Highway 72, Salem, MO 65560-7217 | 2015-06-09 |
| 1730566274 | Melody Marie Montgomery | Pharmacist | 35629 Highway 72, Salem, MO 65560-7217 | 2015-05-05 |
| 1548682339 | Nicole L Hancock | Dietitian, Registered | 35629 Highway 72, Salem, MO 65560-7217 | 2014-01-13 |
| 1891034229 | Qmb Radiology LLC | Radiologic Technologist | 35629 Highway 72, Salem, MO 65560-7217 | 2013-02-05 |
| 1922345800 | Salem Memorial Hospital | Clinic/Center | 35629 Highway 72, Building 1, Salem, MO 65560-7217 | 2013-01-11 |
| 1255661690 | Radex, Inc | Radiologic Technologist | 35629 Highway 72, Salem, MO 65560-7217 | 2010-01-07 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174087985 | Brenda Gott | Nurse Practitioner | 3103 Hh Highway, Salem, MO 65560 | 2019-01-25 |
| 1174959142 | Britney Nicole Christesen | Chiropractor | 909 S Pershing Ave, Salem, MO 65560 | 2013-09-22 |
| 1245550474 | Amber Nicole Duncan | Chiropractor | 803 W 32 Hwy, Suite B, Salem, MO 65560 | 2010-06-10 |
| 1043460371 | Tina Marie Mcmullin | Counselor | 601 East Center Street, Salem, MO 65560 | 2008-09-23 |
| 1225286347 | Craig Tatom | Nurse Practitioner | Hwy 72 N Physicians Office Building II, Salem, MO 65560 | 2008-09-03 |
| 1114190576 | Jamie Johnston Wilson | Registered Nurse | Hwy 72 West, Salem, MO 65560 | 2008-04-08 |
| 1750589024 | Vicky L Gulley | Emergency Medicine | 35629 Hwy 72, Pob 1, Suite 3, Salem, MO 65560 | 2007-07-06 |
| 1275669533 | Complete Care, Inc | Durable Medical Equipment & Medical Supplies | 116 W. 4th, Salem, MO 65560 | 2007-02-23 |
| 1023083722 | Brent K. Caudill | General Practice | Hwy 72 N, Salem, MO 65560 | 2006-02-17 |
| 1750369369 | Charles W Cunningham | Family Medicine | 1010 E Scenic Rivers Blvd, Salem, MO 65560 | 2006-01-04 |
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| Taxonomy Code | 207P00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Emergency Medicine |
| An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: mofified source] - Additional Resources: American Board of Emergency Medicine, 2007. http://www.abem.org/public/; American Osteopathic Board of Emergency Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Emergency Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Emergency Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760725485 | Deirdre Harmony Witte | Emergency Medicine | Salem Emergency Physicians, C/o Salem Hospital Ed, 890 Oak St, Se, Building A, Salem, OR 97301 | 2013-04-01 |
| 1689992117 | Jillian Colleen Schmunk | Emergency Medicine | 890 Oak Street, Se, Building A, Salem Emergency Physicians Services, Salem, OR 97301 | 2010-05-07 |
| 1184894081 | Lourdes Maria Page | Emergency Medicine | 429 Homeplace Dr, Salem, VA 24153-7158 | 2008-03-06 |
| 1750589024 | Vicky L Gulley | Emergency Medicine | 35629 Hwy 72, Pob 1, Suite 3, Salem, MO 65560 | 2007-07-06 |
| 1477672483 | Michael Joseph Barra | Emergency Medicine | 890 Oak St Se Bldg A, Salem, OR 97301-3905 | 2007-03-29 |
| 1396810206 | David Austin Rideout | Emergency Medicine | 60 Washington St Ste 403, Salem, MA 01970-3517 | 2006-11-24 |
| 1134204795 | Fulton County Hospital | Emergency Medicine | 679 North Main, Salem, AR 72576 | 2006-10-25 |
| 1154336444 | Jenai E Beland Cohen | Emergency Medicine | Salem Hospital, 81 Highland Avenue, Salem, MA 01970 | 2006-07-29 |
| 1013942192 | John A Michael | Emergency Medicine | 28 1/2 Broad St, Salem, MA 01970-3143 | 2006-07-11 |
| 1447293337 | Davis K Cho | Emergency Medicine | 1002 Bellevue St Se, Salem, OR 97301-4006 | 2006-06-14 |
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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.