PUTNAM COUNTY MEMORIAL HOSPITAL (NPI# 1750763322) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1750763322 |
| Entity Type | Organization |
| Organization Name | PUTNAM COUNTY MEMORIAL HOSPITAL |
| Other Organization Name | PUTNAM COUNTY MEMORIAL HOSPITAL PHARMACY |
| Practice Address |
1926 Oak St Unionville MO 63565-1180 |
| Practice Telephone | 6609472574 |
| Practice Fax Number | 6609472576 |
| Mailing Telephone | 6609472574 |
| Mailing Fax Number | 6609472576 |
| Enumeration Date | 2015-06-19 |
| Last Update Date | 2019-11-18 |
| NPI Deactivation Date | 07/24/2018 |
| NPI Reactivation Date | 2019-11-18 |
| Authorized Official Name | MARIAH HOLLABAUGH (DIRECTOR OF PHARMACY) |
| Authorized Official Telephone | 6609473673 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 3336L0003X |
Pharmacy Specialization: Long Term Care Pharmacy |
Suppliers | ||
| Y | 3336C0003X |
Pharmacy Specialization: Community/Retail Pharmacy |
2015019365 | MO | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PK | 2152660 | 01 |
| Other Name | Type Code |
|---|---|
| Putnam County Memorial Hospital Pharmacy | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609870195 | Putnam County Memorial Hospital | General Acute Care Hospital | 1926 Oak St, Unionville, MO 63565-1180 | 2005-06-13 |
| 1720244627 | Putnam County Memorial Hospital | Family Medicine | 1926 Oak St, Unionville, MO 63565-1180 | 2008-07-31 |
| 1861610255 | Putnam County Memorial Hospital | Medicare Defined Swing Bed Unit | 1926 Oak St, Unionville, MO 63565-1180 | 2007-04-23 |
| 1124125539 | Putnam County Memorial Hospital | Clinic/Center | 1926 Oak St, Unionville, MO 63565-1180 | 2006-09-20 |
| Street Address |
1926 OAK ST |
| City | UNIONVILLE |
| State | MO |
| Zip Code | 63565-1180 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609870195 | Putnam County Memorial Hospital | General Acute Care Hospital | 1926 Oak St, Unionville, MO 63565-1180 | 2005-06-13 |
| 1023631629 | David William Sinnwell | Pharmacist | 1926 Oak St, Unionville, MO 63565-1180 | 2020-05-19 |
| 1780213397 | Latisha Jo Richeson | Social Worker | 1926 Oak St, Unionville, MO 63565-1180 | 2020-04-06 |
| 1811455934 | Nathan Lynn Baughman | Nurse Practitioner | 1926 Oak St, Unionville, MO 63565-1180 | 2019-03-07 |
| 1871039917 | Elizabeth Allen | Nurse Practitioner | 1926 Oak St, Unionville, MO 63565-1180 | 2017-01-12 |
| 1629437926 | Alicia Vestal | Physical Therapy Assistant | 1926 Oak St, Unionville, MO 63565-1180 | 2016-02-15 |
| 1346631157 | Adam Robinson | Physical Therapy Assistant | 1926 Oak St, Unionville, MO 63565-1180 | 2015-02-16 |
| 1720244627 | Putnam County Memorial Hospital | Family Medicine | 1926 Oak St, Unionville, MO 63565-1180 | 2008-07-31 |
| 1861610255 | Putnam County Memorial Hospital | Medicare Defined Swing Bed Unit | 1926 Oak St, Unionville, MO 63565-1180 | 2007-04-23 |
| 1427141183 | Deborah K Wardlow | Nurse Practitioner | 1926 Oak St, Unionville, MO 63565-1180 | 2006-10-02 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457324519 | William A Heffron IIi | Chiropractor | 2808 Washington Street, Unionville, MO 63565 | 2006-02-09 |
| 1700085057 | Wa Heffron IIi Chiropractic Clinic Inc | Chiropractor | 2808 Washington Street, Unionville, MO 63565 | 2007-07-17 |
| 1063542330 | Putnam County Ambulance District | Ambulance | 2206 Putnam St, Unionville, MO 63565-1061 | 2007-03-06 |
| 1639385636 | Bristol Care, Inc. | Assisted Living Facility | 715 N 22nd St, Unionville, MO 63565-1142 | 2007-05-15 |
| 1629035100 | Putnam County Nursing Home | Skilled Nursing Facility | 1814 Oak St, Unionville, MO 63565-1275 | 2006-04-27 |
| 1629438270 | Kali Kelso | Speech-Language Pathologist | 1814 Oak St, Unionville, MO 63565-1275 | 2016-02-24 |
| 1881835528 | Putnam County Nursing Home | Respite Care | 1814 Oak St, Unionville, MO 63565-1275 | 2009-03-10 |
| 1982701850 | Patient Care and Footware LLC | Durable Medical Equipment & Medical Supplies | 109 N 22nd St, Unionville, MO 63565-1327 | 2006-09-20 |
| 1831171776 | Hometown Medical & Equipment, LLC | Durable Medical Equipment & Medical Supplies | 1903 Main St, Unionville, MO 63565-1352 | 2005-11-16 |
| 1063555365 | Putnam County R-i Schools | Physical Therapist | 803 S 20th St, Unionville, MO 63565-1482 | 2007-02-15 |
| Find all providers in zip 63565 | ||||
| Taxonomy Code | 3336C0003X |
| Grouping | Suppliers |
| Classification | Pharmacy |
| Specialization | Community/Retail Pharmacy |
| A pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the dispensing process); administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other health care providers, collaborative practice, disease state management, and education classes. |
| Notes: Source: Developed by National Council for Prescription Drug Programs (NCPDP), National Home Infusion Association (NHIA), and Pharmacist Services Technical Advisory Coalition (PSTAC) [1/1/2006: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285749721 | Peter Square Inc | Pharmacy | 30 Mill St, Unionville, CT 06085-1000 | 2006-08-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699374629 | Curators of The University of Missouri | Pharmacy | 7115 East St. Charles Road, Columbia, MO 65202 | 2020-10-21 |
| 1376141143 | Phillips Pharmacy, LLC | Pharmacy | 7278 State Highway 14 E, Sparta, MO 65753-9345 | 2020-10-14 |
| 1013527761 | Rpcs, Inc. | Pharmacy | 18128 State Hwy 13, Branson West, MO 65737 | 2020-08-07 |
| 1205446184 | Rpcs, Inc. | Pharmacy | 200 Southtowne Blvd, Hollister, MO 65672-9610 | 2020-08-05 |
| 1912517897 | Rpcs, Inc. | Pharmacy | 1447 State Highway 248 Ste J, Branson, MO 65616-8161 | 2020-08-05 |
| 1245849801 | Rpcs Inc | Pharmacy | 163 W Old Mill Rd, Fair Grove, MO 65648-7918 | 2020-07-29 |
| 1760005219 | Meta Pharmacy Solutions | Pharmacy | 108 Triad Ctr W, O Fallon, MO 63366-7541 | 2020-05-19 |
| 1437778172 | Harps Food Stores, Inc | Pharmacy | 707 Specialty Dr, Dexter, MO 63841-2718 | 2020-04-13 |
| 1013540038 | Auburn Pharmacy Inc | Pharmacy | 810 W 35th St Ste 101, Higginsville, MO 64037-1865 | 2020-02-18 |
| 1801428495 | Scpg Missouri LLC | Pharmacy | 501 South Madison Ave, Suite S, Webb City, MO 64870 | 2020-02-11 |
| Find all providers with the same taxonomy | ||||
| City | UNIONVILLE |
| Zip Code | 63565 |
Please comment or provide details below to improve the information on PUTNAM 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.