SALEM MEMORIAL HOSPITAL (NPI# 1821243981) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1821243981 |
| Entity Type | Organization |
| Organization Name | SALEM MEMORIAL HOSPITAL |
| Other Organization Name | SMDH FAMILY MEDICINE |
| Practice Address |
35629 Hwy 72 Bld. 3 Salem MO 65560-0719 |
| Mailing Address |
Po Box 719 Salem MO 65560-0719 |
| Practice Telephone | 5737298000 |
| Practice Fax Number | 5737298001 |
| Mailing Telephone | 5737298000 |
| Mailing Fax Number | 5737298001 |
| Enumeration Date | 2008-11-17 |
| Last Update Date | 2008-12-17 |
| Authorized Official Name | MR. DENNIS P PRYOR (HOSPITAL ADMINISTRATOR) |
| Authorized Official Telephone | 5737296626 |
| Is Organization Subpart | Y |
| Parent Organization Name | SALEM MEMORIAL HOSPITAL |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QR1300X |
Clinic/Center Specialization: Rural Health |
Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| SMDH Family Medicine | Doing Business As Name - Organization |
| 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 |
| 1639177561 | Salem Memorial Hospital | General Acute Care Hospital | 35629 Highway 72, Salem, MO 65560-7217 | 2005-07-13 |
| 1922345800 | Salem Memorial Hospital | Clinic/Center | 35629 Highway 72, Building 1, Salem, MO 65560-7217 | 2013-01-11 |
| 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 HWY 72 BLD. 3 |
| City | SALEM |
| State | MO |
| Zip Code | 65560-0719 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750589024 | Vicky L Gulley | Emergency Medicine | 35629 Hwy 72, Pob 1, Suite 3, Salem, MO 65560 | 2007-07-06 |
| 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 |
| 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 |
| 1053396952 | H.e. Moser Corporation | Pharmacy | 900 S Main, Salem, MO 65560 | 2005-12-13 |
| Find all providers in zip 65560 | ||||
| Taxonomy Code | 261QR1300X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Rural Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679600936 | Ozarks Medical Center | Clinic/Center | 172 Hwy 62 East, Suite 1, Salem, AR 72576 | 2007-02-27 |
| 1821089657 | Salem Memorial Hospital | Clinic/Center | 35629 Highway 72 Bldg II, Salem, MO 65560-7217 | 2005-11-01 |
| 1639174568 | Avera Queen of Peace | Clinic/Center | 741 S Hill St, Salem, SD 57058-8761 | 2005-06-16 |
| 1649830472 | Salem Township Hospital | Clinic/Center | 1321 W Whittaker St, Salem, IL 62881-2013 | 2019-06-14 |
| 1316411655 | Crittenden Community Hospital LLC | Clinic/Center | 117 E Main St, Salem, KY 42078-9998 | 2019-01-21 |
| 1922345800 | Salem Memorial Hospital | Clinic/Center | 35629 Highway 72, Building 1, Salem, MO 65560-7217 | 2013-01-11 |
| 1194077701 | Pcrmc Medical Group, Inc | Clinic/Center | 1415 W Scenic Rivers Blvd, Salem, MO 65560-2840 | 2012-10-05 |
| 1023326436 | Lifeline Homecare of Salem LLC | Clinic/Center | 503 E Main St, Salem, KY 42078-8033 | 2010-09-20 |
| 1619201829 | Avera Queen of Peace | Clinic/Center | 741 S Hill St, Salem, SD 57058-8761 | 2009-09-22 |
| 1619109543 | Physician Services Corp of Southern Illinois | Clinic/Center | 1250 W Whittaker St, Salem, IL 62881-1917 | 2009-08-11 |
| 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.