MOSAIC MEDICAL CENTER - MARYVILLE


Address: 2016 S Main St, Maryville, MO 64468-2655
Phone: 6605622600

MOSAIC MEDICAL CENTER - MARYVILLE (NPI# 1568936995) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1568936995
Entity Type Organization
Organization Name MOSAIC MEDICAL CENTER - MARYVILLE
Other Organization Name MOSAIC SKILLED NURSING - MARYVILLE
Practice Address 2016 S Main St
Maryville
MO 64468-2655
Practice Telephone 6605622600
Practice Fax Number 6605627943
Mailing Telephone 6605622600
Mailing Fax Number 6605627943
Enumeration Date 2019-01-18
Last Update Date 2019-03-12
Authorized Official Name DWIGHT R CARVELL (DIRECTOR OF REIMBURSEMENT)
Authorized Official Telephone 8162730473
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 275N00000X Medicare Defined Swing Bed Unit Hospital Units

Other Provider/Organization Names

Other Name Type Code
Mosaic Skilled Nursing - Maryville Doing Business As Name - Organization

Other Provider IDs and Locations

NPI Name Taxonomy Address Enumeration
1093289431 Mosaic Medical Center - Maryville Family Medicine 301 E Price Ave Ste A, Savannah, MO 64485-2482 2019-01-18
1184189797 Mosaic Medical Center - Maryville Internal Medicine 2016 S Main St, Maryville, MO 64468-2655 2019-02-07
1205300498 Mosaic Medical Center - Maryville Family Medicine 408 Dodge St, Bedford, IA 50833-1413 2019-01-22
1598239790 Mosaic Medical Center - Maryville Family Medicine 114 E South Hills Dr, Maryville, MO 64468-2659 2019-01-22
1477027803 Mosaic Medical Center - Maryville Psychiatric Unit 2016 S Main St, Maryville, MO 64468-2655 2019-01-18
1265906663 Mosaic Medical Center - Maryville General Acute Care Hospital 2016 S Main St, Maryville, MO 64468-2655 2019-01-18
1821562265 Mosaic Medical Center - Maryville Clinic/Center 2016 S Main St, Maryville, MO 64468-2655 2019-01-18

Other Data Sources

Entity Type Entity Name Entity Address
System for Award Management (SAM) Entities MOSAIC MEDICAL CENTER - MARYVILLE 2016 S Main St, Maryville, MO 64468-2655
Iowa Business Entities MOSAIC MEDICAL CENTER - MARYVILLE 2016 South Main, Maryville, MO 64468

Office Location

Street Address 2016 S MAIN ST
City MARYVILLE
State MO
Zip Code 64468-2655

Providers in the same location

NPI Name Taxonomy Address Enumeration
1619970761 Lorraine M Dodson Specialist 2016 S Main St, Maryville, MO 64468-2655 2005-05-23
1275183055 Alison Sporleder Family Medicine 2016 S Main St, Maryville, MO 64468-2655 2019-09-13
1982251856 Paula Goodridge Family Medicine 2016 S Main St, Maryville, MO 64468-2655 2019-08-24
1184189797 Mosaic Medical Center - Maryville Internal Medicine 2016 S Main St, Maryville, MO 64468-2655 2019-02-07
1477027803 Mosaic Medical Center - Maryville Psychiatric Unit 2016 S Main St, Maryville, MO 64468-2655 2019-01-18
1265906663 Mosaic Medical Center - Maryville General Acute Care Hospital 2016 S Main St, Maryville, MO 64468-2655 2019-01-18
1821562265 Mosaic Medical Center - Maryville Clinic/Center 2016 S Main St, Maryville, MO 64468-2655 2019-01-18
1194241349 Angela Nicole Williamson Nurse Practitioner 2016 S Main St, Maryville, MO 64468-2655 2017-08-18
1225577372 Estella Myrick Nurse Practitioner 2016 S Main St, Maryville, MO 64468-2655 2017-02-21
1558737874 Megan Augustine Nurse Practitioner 2016 S Main St, Maryville, MO 64468-2655 2015-08-20
Find all providers in the same location

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1619315603 William Sean Prescott Counselor 318 North Main, Maryville, MO 64468 2013-06-12
1215284617 Janet Luzmoor Counselor 109 East Summit Dr, Maryville, MO 64468 2012-08-06
1629336177 Kristi Renee White Social Worker 423 N Market St, Maryville, MO 64468 2012-05-02
1285942474 Kyle William Bowers Physical Therapist 2016 South Main Street, Maryville, MO 64468 2010-09-22
1861600660 Debra Anne Hopkins Physical Therapist 2416 South Main St, Maryville, MO 64468 2007-05-18
1023235975 Susan Kay Grispino Occupational Therapist Area Cooperative for Educational Support, 1429 South Munn Avenue, Maryville, MO 64468 2007-04-20
1760542567 North West Missouri State University Clinic/Center 800 University Drive, Maryville, MO 64468 2006-12-11
1528154994 Bruce E Twaddle Dentist 231 Summit Drive, Maryville, MO 64468 2006-10-05
1669588075 Stanley David Snyder Dentist 2825 South Main Street, Maryville, MO 64468 2006-08-21
1710906896 Ileen Richey-arellin Social Worker 109 E Summit Drive, Family Guidance Center, Maryville, MO 64468 2006-07-19
Find all providers in zip 64468

Taxonomy Information

Taxonomy Code 275N00000X
Grouping Hospital Units
Classification Medicare Defined Swing Bed Unit

Taxonomy Definition

A unit of a hospital that has a Medicare provider agreement and has been granted approval from HCFA to provide post-hospital extended care services and be reimbursed as a swing-bed unit.
Notes: Source: Code of Federal Regulations #42, Section 482.66.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1316062789 Ssm Regional Health Services Medicare Defined Swing Bed Unit 2016 S Main St, Maryville, MO 64468-2655 2007-03-21

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1013054212 Ste Genevieve County Memorial Hospital Medicare Defined Swing Bed Unit 800 Sainte Genevieve Dr, Ste Genevieve, MO 63670-1434 2007-01-30
1104801547 Barton County Memorial Hospital Medicare Defined Swing Bed Unit 29 Nw 1st Ln, Lamar, MO 64759-8105 2005-12-08
1245220052 Ray County Memorial Hospital Medicare Defined Swing Bed Unit 904 Wollard Blvd, Richmond, MO 64085-2229 2005-10-24
1083601330 Western Missouri Medical Center Medicare Defined Swing Bed Unit 403 Burkarth Rd, Warrensburg, MO 64093 2005-10-03
1407469778 Noble Health Fulton Inc. Medicare Defined Swing Bed Unit 10 S Hospital Dr, Fulton, MO 65251-2510 2020-08-26
1558985911 Poplar Bluff Regional Medical Center LLC Medicare Defined Swing Bed Unit 3100 Oak Grove Rd, Poplar Bluff, MO 63901-1573 2020-06-02
1861861726 Southeast Health Center of Reynolds LLC Medicare Defined Swing Bed Unit 100 Highway 21 N, Ellington, MO 63638-9409 2015-09-22
1023487162 Southeast Health Center of Ripley County Medicare Defined Swing Bed Unit 109 Plum St, Doniphan, MO 63935-1277 2015-09-18
1093194888 Southeast Health Center of Ripley County Medicare Defined Swing Bed Unit 109 Plum St, Doniphan, MO 63935-1277 2015-05-26
1053707562 Parkland Health Center - Weber Road Medicare Defined Swing Bed Unit 1212 Weber Rd, Farmington, MO 63640-3325 2015-04-10
Find all providers with the same taxonomy

Competitor

Search similar providers

City MARYVILLE
Zip Code 64468

Improve Information

Please comment or provide details below to improve the information on MOSAIC MEDICAL CENTER - MARYVILLE.

Dataset Information

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.

Trending Searches