MACON COUNTY SAMARITAN HOSPITAL (NPI# 1891734505) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1891734505 |
| Entity Type | Organization |
| Organization Name | MACON COUNTY SAMARITAN HOSPITAL |
| Other Organization Name | TOTAL FAMILY HEALTHCARE |
| Practice Address |
1201 N Rutherford St Macon MO 63552-2020 |
| Mailing Address |
1205 N Missouri St Macon MO 63552-2095 |
| Practice Telephone | 6603858900 |
| Practice Fax Number | 6603858708 |
| Mailing Telephone | 6603858700 |
| Mailing Fax Number | 6603858701 |
| Enumeration Date | 2006-06-06 |
| Last Update Date | 2015-02-09 |
| Authorized Official Name | SUSAN J SPENCER (CFO) |
| Authorized Official Telephone | 6603858716 |
| Authorized Official Credential | CPA |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 261QC0050X |
Clinic/Center Specialization: Critical Access Hospital |
N/A - HOSPITAL B | Ambulatory Health Care Facilities | |
| Y | 261QR1300X |
Clinic/Center Specialization: Rural Health |
N/A - HOSPITAL B | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MO | RAILROAD MEDICARE | DA1450 | 01 |
| MO | MEDICARE MO | 000013920 | 01 |
| MO | MEDICAID MO | 505973701 | 01 |
| MO | 596088104 | 05 |
| Other Name | Type Code |
|---|---|
| Total Family Healthcare | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437666872 | Macon County Samaritan Hospital | Clinic/Center | 1201 N Rutherford St, Macon, MO 63552-2020 | 2018-01-08 |
| 1437419199 | Macon County Samaritan Hospital | Emergency Medicine | 1205 N Missouri St, Macon, MO 63552-2095 | 2012-05-29 |
| 1891820858 | Macon County Samaritan Hospital | Ambulance | 1205 N Missouri St, Macon, MO 63552-2095 | 2007-02-22 |
| 1457390114 | Macon County Samaritan Hospital | Clinic/Center | 1205 N Missouri St, Macon, MO 63552-2095 | 2006-06-06 |
| 1699714303 | Macon County Samaritan Hospital | General Acute Care Hospital | 1205 N Missouri St, Macon, MO 63552-2095 | 2006-06-06 |
| 1548209794 | Macon County Samaritan Hospital | Home Health | 1205 N Missouri St, Macon, MO 63552-2095 | 2006-06-05 |
| 1548215106 | Macon County Samaritan Hospital | Ambulance | 1205 N Missouri St, Macon, MO 63552-2095 | 2006-05-23 |
| Street Address |
1201 N RUTHERFORD ST |
| City | MACON |
| State | MO |
| Zip Code | 63552-2020 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750387163 | Nora Marie Hockman-mcdowell | Nurse Practitioner | 1201 N Rutherford St, Macon, MO 63552-2020 | 2005-06-22 |
| 1942845375 | Emily Kerns | Physician Assistant | 1201 N Rutherford St, Macon, MO 63552-2020 | 2019-11-08 |
| 1508417650 | Jamie Lynne Oliver | Nurse Practitioner | 1201 N Rutherford St, Macon, MO 63552-2020 | 2019-09-20 |
| 1437666872 | Macon County Samaritan Hospital | Clinic/Center | 1201 N Rutherford St, Macon, MO 63552-2020 | 2018-01-08 |
| 1437552213 | Krystal Barnett | Nurse Practitioner | 1201 N Rutherford St, Macon, MO 63552-2020 | 2014-10-07 |
| 1558651794 | Lisa Michelle Mayes | Family Medicine | 1201 N Rutherford St, Macon, MO 63552-2020 | 2011-04-08 |
| 1114195187 | Paula G Barr | Nurse Practitioner | 1201 N Rutherford St, Macon, MO 63552-2020 | 2008-02-13 |
| 1184744765 | Bradley Robert Freidel | Internal Medicine | 1201 N Rutherford St, Macon, MO 63552-2020 | 2007-03-29 |
| 1952340663 | Julie L Burdin | Family Medicine | 1201 N Rutherford St, Macon, MO 63552-2020 | 2006-06-06 |
| 1255370482 | James W Mcdowell | Family Medicine | 1201 N Rutherford St, Macon, MO 63552-2020 | 2006-06-05 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891194783 | Dialysis Clinic Inc | Clinic/Center | 1203 N. Missouri St, Macon, MO 63552 | 2014-08-18 |
| 1477624161 | Charles Edgar Averill Jr. | Occupational Therapist | 704a South Missouri, Macon, MO 63552 | 2006-11-13 |
| 1629035084 | Missouri Cvs Pharmacy, L.L.C. | Pharmacy | 1105 N Rutherford St, Macon, MO 63552 | 2006-04-28 |
| 1659560688 | Iris Ladawn Gaerditz | Speech-Language Pathologist | 702 N Missouri St, Macon, MO 63552 | 2007-10-16 |
| 1841316296 | Paul Vincent Lane | Physical Therapist | 2005 N. Missouri St., Suite D, Macon, MO 63552-0381 | 2007-03-21 |
| 1891908612 | Mid Missouri Physical Therapy | Physical Therapist | 2005 N. Missouri St., Suite D, Macon, MO 63552-0381 | 2007-05-08 |
| 1366568735 | Lara Beth Jones | Physical Therapist | 2005 N. Missouri St., Suite D., Macon, MO 63552-0381 | 2007-03-21 |
| 1871619262 | Abby M Lane | Physical Therapist | 2005 N. Missouri St., Suite D, Macon, MO 63552-0387 | 2007-03-21 |
| 1457715906 | Kimberly Oroke | Social Worker | 821 Charles St, Columbia, MO 63552-1064 | 2016-04-11 |
| 1679100507 | Macon County Sheltered Workshop | Private Vehicle | 1103 Enterprise Rd, Macon, MO 63552-1305 | 2020-03-23 |
| Find all providers in zip 63552 | ||||
| Taxonomy Code | 261QR1300X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Rural Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437651924 | Amanda Mckenzie | Clinic/Center | Us Renal Care 657 Hemlock Street, Macon, GA 31206 | 2018-03-01 |
| 1235401084 | Trinity Mobile Health Clinic | Clinic/Center | 15865 Highway 14 West, Macon, MS 39341-2453 | 2012-02-08 |
| 1912193459 | Crawford Health Clinic, LLC | Clinic/Center | 15865 Highway 14, Macon, MS 39341 | 2007-09-19 |
| 1093880874 | Mhs, Inc. | Clinic/Center | 602 N. Jefferson St., Macon, MS 39341 | 2006-11-21 |
| 1700062734 | Noxubee General Critical Access Hospital | Clinic/Center | 602 N Jefferson St, Macon, MS 39341-2242 | 2008-01-22 |
| 1790872018 | Noxubee General Critical Access Hospital | Clinic/Center | 606 N Jefferson St, Macon, MS 39341-0480 | 2006-10-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871102137 | Washington County Memorial Hospital | Clinic/Center | 14206 Hwy C, Belgrade, MO 63622 | 2020-07-23 |
| 1891325072 | Scotland County Memorial Hospital | Clinic/Center | 55682 State Highway 6 Ste A, Edina, MO 63537-4268 | 2020-01-16 |
| 1639736457 | Southeast Health Center of Stoddard County LLC | Clinic/Center | 800 Us Highway 61, New Madrid, MO 63869-1106 | 2019-05-28 |
| 1134633456 | Pike County Memorial Hospital | Clinic/Center | 1420 S Business 61 Unit Fde, Bowling Green, MO 63334-5230 | 2017-11-22 |
| 1720505894 | Perry County Health System | Clinic/Center | 210 Hospital Ln Ste 202, Perryville, MO 63775-4200 | 2017-08-29 |
| 1427572007 | Missouri Delta Medical Center | Clinic/Center | 209 W Yoakum Ave, Chaffee, MO 63740-1138 | 2017-07-26 |
| 1790213676 | Jackson Primary Care LLC | Clinic/Center | 2685 E Main St Ste A, Jackson, MO 63755-2474 | 2017-05-23 |
| 1972050581 | Sgoh Acquisition, Inc. | Clinic/Center | 912b State Highway 59, Goodman, MO 64843-8252 | 2016-09-01 |
| 1144605312 | Nevada City Hospital | Clinic/Center | 627 S Ash St Ste B, Nevada, MO 64772 | 2015-07-29 |
| 1669856829 | Ssm Regional Health Services | Clinic/Center | 2511 W Edgewood Dr Ste F, Jefferson City, MO 65109-5869 | 2015-07-16 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on MACON COUNTY SAMARITAN 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.