PEMISCOT COUNTY MEMORIAL HOSPITAL (NPI# 1578668661) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1578668661 |
| Entity Type | Organization |
| Organization Name | PEMISCOT COUNTY MEMORIAL HOSPITAL |
| Practice Address |
946 E Reed St Hayti MO 63851-1243 |
| Mailing Address |
946 E Reed St P O Box 489 Hayti MO 63851-1243 |
| Practice Telephone | 5733593612 |
| Mailing Telephone | 5733593612 |
| Enumeration Date | 2006-09-13 |
| Last Update Date | 2011-11-02 |
| Authorized Official Name | KERY NOBLE (CEO) |
| Authorized Official Telephone | 5733593612 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QE0002X |
Clinic/Center Specialization: Emergency Care |
MO | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MO | 540988508 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558514901 | Pemiscot County Memorial Hospital | Clinic/Center | 213 S Walnut St, Steele, MO 63877-1714 | 2008-10-29 |
| 1386807675 | Pemiscot County Memorial Hospital | Family Medicine | 946 East Reed St, Hayti, MO 63851 | 2008-07-07 |
| 1932372646 | Pemiscot County Memorial Hospital | Clinic/Center | 555 Virginia Ave, New Madrid, MO 63869 | 2008-04-03 |
| 1508078254 | Pemiscot County Memorial Hospital | Nursing Facility/Intermediate Care Facility | 946 E Reed Street, Hayti, MO 63851-0489 | 2007-05-04 |
| 1437251634 | Pemiscot County Memorial Hospital | Clinic/Center | 106 West 12th St, Caruthersville, MO 63830 | 2006-09-01 |
| 1669493144 | Pemiscot County Memorial Hospital | Nursing Facility/Intermediate Care Facility | 500 Truman Blvd, Caruthersville, MO 63830-1261 | 2006-07-21 |
| 1831689058 | Pemiscot County Memorial Hospital | Clinic/Center | 216 W Main St, Steele, MO 63877 | 2018-05-14 |
| 1124518451 | Pemiscot County Memorial Hospital | Clinic/Center | 100 S Main Street, Gideon, MO 63848 | 2018-05-11 |
| 1477091890 | Pemiscot County Memorial Hospital | Family Medicine | 105 E Washington St, Kennett, MO 63857-2041 | 2017-02-06 |
| 1841463551 | Pemiscot County Memorial Hospital | Clinic/Center | 1502 Ward Ave, Caruthersville, MO 63830-2571 | 2008-04-03 |
| Street Address |
946 E REED ST |
| City | HAYTI |
| State | MO |
| Zip Code | 63851-1243 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013987510 | Lara Huffman | Psychiatry & Neurology | 946 E Reed St, Hayti, MO 63851-1243 | 2006-01-25 |
| 1144887001 | Faaiza Arshad | Physician Assistant | 946 E Reed St, Hayti, MO 63851-1243 | 2019-05-24 |
| 1114379153 | Pemiscot Memorial Health System | General Acute Care Hospital | 946 E Reed St, Hayti, MO 63851-1243 | 2016-07-01 |
| 1386095339 | Linda Tai | Physician Assistant | 946 E Reed St, Hayti, MO 63851-1243 | 2016-06-30 |
| 1497069199 | Pafford Emergency Medical Services of Missouri, Inc. | Ambulance | 946 E Reed St, Hayti, MO 63851-1243 | 2010-08-05 |
| 1710159314 | Pemiscot County Memorial Hospital | Psychiatric Unit | 946 E Reed St, Hayti, MO 63851-1243 | 2008-03-24 |
| 1265602544 | David Ketchum II | Pharmacist | 946 E Reed St, Hayti, MO 63851-1243 | 2008-03-03 |
| 1033393335 | Hazel Radiology, LLC | Radiology | 946 E Reed St, Radiology Department, Hayti, MO 63851-1243 | 2007-12-21 |
| 1437251881 | Pemiscot County Memorial Hospital | General Acute Care Hospital | 946 E Reed St, Hayti, MO 63851-1243 | 2006-09-05 |
| 1861594004 | Pemiscot County Memorial Hospital | Nursing Facility/Intermediate Care Facility | 946 E Reed St, Hayti, MO 63851-1243 | 2006-09-01 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619518032 | Mcpherson Medical & Diagnostic, LLC | Clinic/Center | 110 Us Hwy 61 N, Ste B, Hayti, MO 63851 | 2019-10-07 |
| 1225525744 | Roosevelt Dismukes Jr. | Behavior Technician | 500 Highway 61 N J, Hayti, MO 63851 | 2018-04-19 |
| 1417461625 | Rivian Ricole Hill | Recreation Therapist | 501 Highway 61 J N, Hayti, MO 63851 | 2017-11-27 |
| 1750761169 | Lindsey Moody | Case Manager/Care Coordinator | 909 East Reed Street, Hayti, MO 63851 | 2015-06-02 |
| 1710375811 | Jeremy Winstead | Technician, Other | 500 Highway J North, Hayti, MO 63851 | 2014-12-26 |
| 1164810206 | Teresa Ward | Registered Nurse | 589 Hwy J, Hayti, MO 63851 | 2014-12-23 |
| 1780081463 | Heather Brown | Case Manager/Care Coordinator | 581 Hwy J, Hayti, MO 63851 | 2014-11-25 |
| 1184029241 | Cheryl Byrd | Case Manager/Care Coordinator | 581 Highway J, Hayti, MO 63851 | 2014-10-30 |
| 1114320827 | Toshia Russell | Licensed Practical Nurse | 579 North Highway J, Hayti, MO 63851 | 2014-10-08 |
| 1992104301 | Lora Hawes | Case Manager/Care Coordinator | 581 Hwy J North, Hayti, MO 63851 | 2014-08-21 |
| Find all providers in zip 63851 | ||||
| Taxonomy Code | 261QE0002X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Emergency Care |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639112626 | Community Ambulance Service Inc | Clinic/Center | 203 N Walnut, Meta, MO 65058-0132 | 2006-06-14 |
| 1841828746 | Meritas Health Corporation | Clinic/Center | 2800 Clay Edwards Dr, North Kansas City, MO 64116-3220 | 2020-03-28 |
| 1104999762 | Mccune-brooks Hospital | Clinic/Center | 3125 Dr Russell Smith Way, Carthage, MO 64836-7402 | 2006-11-15 |
| 1104866656 | Washington University | Clinic/Center | 660 S Euclid Ave, Saint Louis, MO 63110-1010 | 2006-06-06 |
Please comment or provide details below to improve the information on PEMISCOT 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.