CEDAR COUNTY MEMORIAL HOSPITAL (NPI# 1720039605) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1720039605 |
| Entity Type | Organization |
| Organization Name | CEDAR COUNTY MEMORIAL HOSPITAL |
| Practice Address |
1401 S Park St El Dorado Springs MO 64744-2037 |
| Practice Telephone | 4178762511 |
| Practice Fax Number | 4178763812 |
| Mailing Telephone | 4178762511 |
| Mailing Fax Number | 4178763812 |
| Enumeration Date | 2006-05-15 |
| Last Update Date | 2013-08-14 |
| Authorized Official Name | MRS. JANA C. WITT (C.E.O.) |
| Authorized Official Telephone | 4178762511 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 282NC0060X |
General Acute Care Hospital Specialization: Critical Access |
208-44 | MO | Hospitals |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992827273 | Cedar County Memorial Hospital | Clinic/Center | 1317 S Highway 32, El Dorado Springs, MO 64744-2037 | 2007-04-06 |
| 1508977844 | Cedar County Memorial Hospital | Home Health | 1317 S Hwy 32, El Dorado Springs, MO 64744-2302 | 2006-08-31 |
| 1881608685 | Cedar County Memorial Hospital | Clinic/Center | 1317 S. Highway 32, El Dorado Springs, MO 64744 | 2006-07-28 |
| 1194749713 | Cedar County Memorial Hospital | Clinic/Center | 807 Owens Mill Rd, Stockton, MO 65785-8359 | 2006-07-27 |
| 1457474249 | Cedar County Memorial Hospital | Medicare Defined Swing Bed Unit | 1401 S Park St, El Dorado Springs, MO 64744-2037 | 2007-04-09 |
| 1275656068 | Cedar County Memorial Hospital | Clinic/Center | 807 Owens Mill Rd, Stockton, MO 65785-8359 | 2007-04-09 |
| 1619090404 | Cedar County Memorial Hospital | General Acute Care Hospital | 1401 S Park St, El Dorado Springs, MO 64744-2037 | 2007-04-09 |
| 1528130168 | Cedar County Memorial Hospital | Home Health | 1317 S. Highway 32, El Dorado Springs, MO 64744 | 2006-11-15 |
| 1437221074 | Cedar County Memorial Hospital | Home Health | 1317 S. Highway 32, El Dorado Springs, MO 64744 | 2006-11-15 |
| 1619084266 | Cedar County Memorial Hospital | Public Health or Welfare | 1317 S. Highway 32, El Dorado Springs, MO 64744 | 2006-08-23 |
| Street Address |
1401 S PARK ST |
| City | EL DORADO SPRINGS |
| State | MO |
| Zip Code | 64744-2037 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447640974 | Robin Miller | Pharmacist | 1401 S Park St, El Dorado Springs, MO 64744-2037 | 2015-02-04 |
| 1538461645 | Angelena Lynn Orear | Nurse Practitioner | 1401 S Park St, El Dorado Springs, MO 64744-2037 | 2010-11-22 |
| 1457474249 | Cedar County Memorial Hospital | Medicare Defined Swing Bed Unit | 1401 S Park St, El Dorado Springs, MO 64744-2037 | 2007-04-09 |
| 1619090404 | Cedar County Memorial Hospital | General Acute Care Hospital | 1401 S Park St, El Dorado Springs, MO 64744-2037 | 2007-04-09 |
| 1053432021 | Douglas Rice | Nurse Anesthetist, Certified Registered | 1401 S Park St, El Dorado Springs, MO 64744-2037 | 2007-04-03 |
| 1962457192 | William Lee Pearson | Nurse Anesthetist, Certified Registered | 1401 S Park St, El Dorado Springs, MO 64744-2037 | 2006-05-24 |
| 1659326379 | Wenceslaus Piadade Clement Dias | Surgery | 1401 S Park St, El Dorado Springs, MO 64744-2037 | 2006-05-23 |
| 1366496150 | Craig Allan Wamsley | Family Medicine | 1401 S Park St, El Dorado Springs, MO 64744-2037 | 2006-05-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295251742 | Rachel Kauffman | Pharmacist | 1403 S. Park St., El Dorado Springs, MO 64744 | 2017-08-16 |
| 1457898603 | Stephanie Louise Miller | Nurse Practitioner | 322 E Hospital Rd, El Dorado Springs, MO 64744 | 2017-01-26 |
| 1902200645 | Kimberly Denise Souza | Nurse Practitioner | 1317 South Hwy. 32, El Dorado Springs, MO 64744 | 2014-10-09 |
| 1376843714 | Sandra Jeanne Moore | Registered Nurse | 107 W Broadway, Pathway's Behavioral Health Care, Eldorado Springs, MO 64744 | 2010-11-02 |
| 1275674715 | Michael Lee Housh | Dentist | 605 E Hospital Road, Suite #1, El Dorado Springs, MO 64744 | 2007-02-09 |
| 1932269446 | State of Missouri | Case Management | 1301 Industrial Prkwy E, El Dorado Springs, MO 64744 | 2006-12-12 |
| 1720195845 | Wilkinson Pharmacy Inc | Pharmacy | 200 E Hwy 54, El Dorado Springs, MO 64744 | 2006-08-24 |
| 1881608685 | Cedar County Memorial Hospital | Clinic/Center | 1317 S. Highway 32, El Dorado Springs, MO 64744 | 2006-07-28 |
| 1942243639 | Todd P. Hill | Dentist | 107 Broadway Street, El Dorado Springs, MO 64744 | 2006-06-13 |
| 1902379266 | El Dorado Vision LLC | Optometrist | 701 E Hospital Rd, El Dorado Springs, MO 64744 | 2019-01-09 |
| Find all providers in zip 64744 | ||||
| Taxonomy Code | 282NC0060X |
| Grouping | Hospitals |
| Classification | General Acute Care Hospital |
| Specialization | Critical Access |
| Definition to come. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619090404 | Cedar County Memorial Hospital | General Acute Care Hospital | 1401 S Park St, El Dorado Springs, MO 64744-2037 | 2007-04-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356689905 | Southeast Health Center of Reynolds County LLC | General Acute Care Hospital | 100 Hwy 21, Ellington, MO 63638-7943 | 2013-01-16 |
| 1467789222 | Va Medical Center In St.louis | General Acute Care Hospital | 9830 Eastdell Dr, Saint Louis, MO 63136-1915 | 2009-11-14 |
| 1750512042 | Vicky Laurine Simbro | General Acute Care Hospital | 4505 Cove Rd, Osage Beach, MO 65065-2307 | 2009-08-04 |
| 1710177480 | Wisam Hassan Ali Al Badr | General Acute Care Hospital | 3635 Grand Blvd, Saint Louis, MO 63110-2539 | 2007-07-30 |
| 1619179561 | Saint Louis University Medical Center | General Acute Care Hospital | 1402 S Grand Blvd # M238, Saint Louis, MO 63104-1004 | 2007-06-04 |
| 1962578609 | Hermann Area Hospital District | General Acute Care Hospital | 509 West 18th St, Hermann, MO 65041 | 2006-11-27 |
| 1477648178 | Iron County Hospital District | General Acute Care Hospital | 301 N Highway 21, Pilot Knob, MO 63663-0548 | 2006-10-04 |
| 1023053477 | Mercy St. Francis Hospital | General Acute Care Hospital | 100 West Highway 60, Mountain View, MO 65548 | 2006-06-19 |
| 1912948308 | Saint Lukes Hospital of Chillicothe | General Acute Care Hospital | 2799 N Washington, Chillicothe, MO 64601-2902 | 2006-06-09 |
| 1285690644 | Advanced Health Care Management Services, LLC | General Acute Care Hospital | 100 Highway 21 N, Ellington, MO 63638-9409 | 2006-04-25 |
| Find all providers with the same taxonomy | ||||
| City | EL DORADO SPRINGS |
| Zip Code | 64744 |
Please comment or provide details below to improve the information on CEDAR 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.