SALEM MEMORIAL HOSPITAL (NPI# 1639177561) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1639177561 |
Entity Type | Organization |
Organization Name | SALEM MEMORIAL HOSPITAL |
Practice Address |
35629 Highway 72 Salem MO 65560-7217 |
Mailing Address |
Po Box 774 Salem MO 65560-0774 |
Practice Telephone | 5737296626 |
Practice Fax Number | 5737296502 |
Mailing Telephone | 5737296626 |
Mailing Fax Number | 5737296502 |
Enumeration Date | 2005-07-13 |
Last Update Date | 2010-01-20 |
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 | 282NC0060X |
General Acute Care Hospital Specialization: Critical Access |
58567 | MO | Hospitals |
State | Issuer | Identifier | Type Code |
---|---|---|---|
CIGNA | 0004 | 01 | |
MO | 0101570307 | 05 | |
MERCY/PREMIERE | 260172 | 01 | |
UNITED HEALTHCARE | 5007100 | 01 | |
BLUE CROSS | 137 | 01 | |
HEALTHLINK | 110368 | 01 |
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 |
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 |
1548232283 | Salem Memorial Hospital | Emergency Medicine | 35629 Highway 72, Salem, MO 65560-7217 | 2006-02-06 |
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 |
---|---|---|---|---|
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 |
1114062387 | Anne M Delonais-turner | Emergency Medicine | 35629 Highway 72, Salem, MO 65560-7217 | 2007-02-21 |
Find all providers in the same location |
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 |
Find all providers in zip 65560 |
Taxonomy Code | 282NC0060X |
Grouping | Hospitals |
Classification | General Acute Care Hospital |
Specialization | Critical Access |
Definition to come. |
Notes: [7/1/2003: new] |
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1376529081 | Livingston Hospital and Healthcare Services, Inc. Cah | General Acute Care Hospital | 131 Hospital Dr, Salem, KY 42078-8043 | 2005-12-15 |
1588640254 | Livingston Hospital and Healthcare Services, Inc. | General Acute Care Hospital | 131 Hospital Dr, Salem, KY 42078-8043 | 2005-12-15 |
1730165416 | Livingston Hospital and Healthcare Services, Inc. | General Acute Care Hospital | 131 Hospital Dr, Salem, KY 42078-8043 | 2005-12-15 |
Find all providers in SALEM |
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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.