SULLIVAN COUNTY MEMORIAL HOSPITAL (NPI# 1598806168) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1598806168 |
| Entity Type | Organization |
| Organization Name | SULLIVAN COUNTY MEMORIAL HOSPITAL |
| Practice Address |
630 W 3rd St Milan MO 63556-1076 |
| Practice Telephone | 6602654212 |
| Practice Fax Number | 6602654898 |
| Mailing Telephone | 6602654212 |
| Mailing Fax Number | 6602654898 |
| Enumeration Date | 2007-02-08 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | AMY MICHAEL (CHIEF FINANCIAL OFFICER) |
| Authorized Official Telephone | 6602654212 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 313M00000X | Nursing Facility/Intermediate Care Facility | 130-49 | MO | Nursing & Custodial Care Facilities |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770624967 | Sullivan County Memorial Hospital | Clinic/Center | 106 North Main, Newtown, MO 64667-1000 | 2007-02-09 |
| 1518008218 | Sullivan County Memorial Hospital | Clinic/Center | 18 W 3rd St, Green City, MO 63545-1361 | 2007-02-08 |
| 1619065828 | Sullivan County Memorial Hospital | Clinic/Center | 210 N Market St, Milan, MO 63556-1316 | 2006-10-11 |
| 1275674699 | Sullivan County Memorial Hospital | General Acute Care Hospital | 630 W 3rd St, Milan, MO 63556-1076 | 2007-02-09 |
| 1063553642 | Sullivan County Memorial Hospital | Emergency Medicine | 630 W 3rd St, Milan, MO 63556-1076 | 2007-02-08 |
| 1285775858 | Sullivan County Memorial Hospital | Clinic/Center | 630 W 3rd St, Milan, MO 63556 | 2007-02-08 |
| 1114067832 | Sullivan County Memorial Hospital | General Acute Care Hospital | 630 W 3rd St, Milan, MO 63556-1076 | 2007-02-08 |
| Street Address |
630 W 3RD ST |
| City | MILAN |
| State | MO |
| Zip Code | 63556-1076 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659479061 | Thomas Edwin Williams | Family Medicine | 630 W 3rd St, Milan, MO 63556-1076 | 2006-09-20 |
| 1487005435 | Michelle Lynn Greathouse | Nurse Practitioner | 630 W 3rd St, Milan, MO 63556-1076 | 2016-06-30 |
| 1528324779 | Ryan Williams | Family Medicine | 630 W 3rd St, Milan, MO 63556-1076 | 2012-04-02 |
| 1780843623 | Martha Kay Curtis | Nurse Practitioner | 630 W 3rd St, Milan, MO 63556-1076 | 2008-06-05 |
| 1023159514 | Vivian Marlene Hall | Nurse Practitioner | 630 W 3rd St, Milan, MO 63556-1076 | 2007-02-09 |
| 1275674699 | Sullivan County Memorial Hospital | General Acute Care Hospital | 630 W 3rd St, Milan, MO 63556-1076 | 2007-02-09 |
| 1063553642 | Sullivan County Memorial Hospital | Emergency Medicine | 630 W 3rd St, Milan, MO 63556-1076 | 2007-02-08 |
| 1285775858 | Sullivan County Memorial Hospital | Clinic/Center | 630 W 3rd St, Milan, MO 63556 | 2007-02-08 |
| 1114067832 | Sullivan County Memorial Hospital | General Acute Care Hospital | 630 W 3rd St, Milan, MO 63556-1076 | 2007-02-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366786246 | Rolling Hills Residential Care Facility, LLC | Assisted Living Facility | 24583 Hwy 5, Milan, MO 63556 | 2012-11-16 |
| 1326160821 | High Hope Employment Services, Inc. | Day Training, Developmentally Disabled Services | 708 North Pearl, Milan, MO 63556 | 2007-04-04 |
| 1114008281 | Stephanie Alvera Granneman | Nurse Practitioner | 210 N Market St, Milan, MO 63556 | 2006-10-17 |
| 1801968979 | Daniel Hoelzel Crtt Inc | Durable Medical Equipment & Medical Supplies | 19269 Daisy Dr, Milan, MO 63556-0065 | 2006-11-14 |
| 1194856203 | Sullivan County Health Department | Case Management | 101 Hawthorne Dr, Milan, MO 63556-1017 | 2007-03-08 |
| 1790781136 | Sullivan County Ambulance District | Ambulance | 113 S Leewood Dr, # 1, Milan, MO 63556-1100 | 2005-06-21 |
| 1053440032 | Sheila F King | Speech-Language Pathologist | 373 S Market St, Milan, MO 63556-1182 | 2007-03-05 |
| 1407136393 | Ashley L Gardner | Speech-Language Pathologist | 373 S Market St, Milan, MO 63556-1182 | 2011-08-23 |
| 1487859120 | Ann E Mcdonald | Local Education Agency (LEA) | 373 S Market St, Milan, MO 63556-1182 | 2007-06-20 |
| 1053437806 | School Dist 2 Milan | Local Education Agency (LEA) | 373 S Market St, Milan, MO 63556-1182 | 2007-03-22 |
| Find all providers in zip 63556 | ||||
| Taxonomy Code | 313M00000X |
| Grouping | Nursing & Custodial Care Facilities |
| Classification | Nursing Facility/Intermediate Care Facility |
| An institution (or a distinct part of an institution) which- (1) is primarily engaged in providing to residents- (A) skilled nursing care and related services for residents who require medical or nursing care, (B) rehabilitation services for the rehabilitation of injured, disabled, or sick persons, or, on a regular basis, health-related care and services to individuals who because of their mental or physical condition require care and services (above the level of room and board) which can be made available to them only through institutional facilities, and is not primarily for the care and treatment of mental diseases; (2) has in effect a transfer agreement with one or more hospitals. |
| Notes: Source: Paraphrased from Section 1919 (a) of the Social Security Act. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194806281 | Dlr Investments, Inc. | Nursing Facility/Intermediate Care Facility | 1200 Whitlatch Way, Milan, IN 47031-8343 | 2006-10-17 |
| 1699751164 | Cornerstone Health Care of Milan, Inc. | Nursing Facility/Intermediate Care Facility | 8060 Stinson St, Milan, TN 38358-6390 | 2005-12-16 |
| 1013908359 | Concord Care Center of Milan, Inc. | Nursing Facility/Intermediate Care Facility | 185 S Main St, Milan, OH 44846-9765 | 2005-11-04 |
| 1245218718 | Cornerstone Health Care of Douglas, Inc. | Nursing Facility/Intermediate Care Facility | 2084 W Main St, Milan, TN 38358-3515 | 2006-01-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316488075 | Anna's House Residential Care Facility LLC | Nursing Facility/Intermediate Care Facility | 194 State Highway Mm, Niangua, MO 65713-8411 | 2017-03-14 |
| 1841667565 | Univest, LLC | Nursing Facility/Intermediate Care Facility | 1401 W 3rd St, Sedalia, MO 65301-3603 | 2015-08-28 |
| 1417334137 | Holistic Healthcare LLC | Nursing Facility/Intermediate Care Facility | 4630 Robbins Grove Dr, Florissant, MO 63034-2840 | 2015-05-01 |
| 1295123420 | Erin Eggen | Nursing Facility/Intermediate Care Facility | 1101 Clay Street, Versailles, MO 65084 | 2014-12-22 |
| 1518303296 | Leaetta Mildred Gardner | Nursing Facility/Intermediate Care Facility | 13450 County Road 7040, Rolla, MO 65401 | 2013-05-21 |
| 1376893297 | Reliant Care Rehabilitative Services | Nursing Facility/Intermediate Care Facility | 411 Robert Ave, Ferguson, MO 63135-3526 | 2012-09-18 |
| 1487975363 | Neighborhood Outreach Center | Nursing Facility/Intermediate Care Facility | 5325 Dr Martin Luther King Dr, Saint Louis, MO 63112-4256 | 2010-06-15 |
| 1205168523 | Nirmal K Samanta | Nursing Facility/Intermediate Care Facility | 250 Brandy Ln, Cape Girardeau, MO 63701-8443 | 2010-02-11 |
| 1083882682 | Crestwood Health Care Center, L.L.C. | Nursing Facility/Intermediate Care Facility | 11400 Mehl Avenue, Florissant, MO 63033-7204 | 2008-02-15 |
| 1225228455 | St Josephs Hill Infirmary Inc | Nursing Facility/Intermediate Care Facility | 265 St Joseph Road, Eureka, MO 63025-0550 | 2007-07-25 |
| 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.