MERCY HOSPITAL CARTHAGE (NPI# 1912392861) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1912392861 |
| Entity Type | Organization |
| Organization Name | MERCY HOSPITAL CARTHAGE |
| Practice Address |
3125 Dr Russell Smith Way Carthage MO 64836 |
| Mailing Address |
645 Maryville Centre Dr Fl 3 Saint Louis MO 63141-5855 |
| Practice Telephone | 4173588121 |
| Enumeration Date | 2015-03-30 |
| Last Update Date | 2018-06-13 |
| Authorized Official Name | SCOTT REYNOLDS (CFO) |
| Authorized Official Telephone | 4178202818 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 275N00000X | Medicare Defined Swing Bed Unit | Hospital Units |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003201955 | Mercy Hospital Carthage | Psychiatry & Neurology | 3125 Dr Russell Smith Way, Carthage, MO 64836 | 2015-03-30 |
| 1447591573 | Mercy Hospital Carthage | Internal Medicine | 1515 Hazel St, Carthage, MO 64836-2850 | 2013-03-14 |
| 1861743627 | Mercy Hospital Carthage | Clinic/Center | 1515 Hazel St, Carthage, MO 64836-2850 | 2012-09-19 |
| 1558628222 | Mercy Hospital Carthage | Internal Medicine | 1515 Hazel St, Carthage, MO 64836-2850 | 2012-04-18 |
| 1285904342 | Mercy Hospital Carthage | Clinic/Center | 1911 Buena Vista Ave, Carthage, MO 64836 | 2012-01-06 |
| 1285904755 | Mercy Hospital Carthage | Ambulance | 3125 Dr Russell Smith Way, Carthage, MO 64836-7402 | 2011-12-30 |
| 1992074959 | Mercy Hospital Carthage | Clinic/Center | 1515 Hazel St, Suite 101, Carthage, MO 64836 | 2011-12-21 |
| 1568731974 | Mercy Hospital Carthage | Home Health | 3125 Dr Russell Smith Way, Carthage, MO 64836-7402 | 2011-12-14 |
| 1952679334 | Mercy Hospital Carthage | Medicare Defined Swing Bed Unit | 3125 Dr Russell Smith Way, Carthage, MO 64836-7402 | 2011-12-13 |
| 1396012753 | Mercy Hospital Carthage | General Acute Care Hospital | 3125 Dr Russell Smith Way, Carthage, MO 64836-7402 | 2011-11-29 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | MERCY HOSPITAL CARTHAGE | 3125 Dr Russell Smith Way, Carthage, MO 64836-7402 |
| Street Address |
3125 DR RUSSELL SMITH WAY |
| City | CARTHAGE |
| State | MO |
| Zip Code | 64836 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982680666 | Aaron M. Petersen | Nurse Anesthetist, Certified Registered | 3125 Dr Russell Smith Way, Anesthesia Dept, Carthage, MO 64836-7402 | 2005-12-15 |
| 1417570821 | Meghan Metzger | Nurse Practitioner | 3125 Dr Russell Smith Way, Carthage, MO 64836-7402 | 2020-05-20 |
| 1356825384 | Jill A Parmley | Nurse Practitioner | 3125 Dr Russell Smith Way, Carthage, MO 64836-7402 | 2018-09-15 |
| 1003300286 | Mercy Carthage Anesthesia | Anesthesiology | 3125 Dr Russell Smith Way, Carthage, MO 64836-7402 | 2018-06-20 |
| 1225587504 | Northstar Anesthesia of Kentucky II, Pllc | Nurse Anesthetist, Certified Registered | 3125 Dr Russell Smith Way, Carthage, MO 64836-7402 | 2016-09-27 |
| 1710341250 | Ashley Diane Cobb | Dietitian, Registered | 3125 Dr Russell Smith Way, Carthage, MO 64836-7402 | 2016-04-11 |
| 1003201955 | Mercy Hospital Carthage | Psychiatry & Neurology | 3125 Dr Russell Smith Way, Carthage, MO 64836 | 2015-03-30 |
| 1992196778 | Annette Noel Mense | Physician Assistant | 3125 Dr Russell Smith Way, Carthage, MO 64836-7402 | 2015-02-14 |
| 1982018727 | Jared Wade Nichols | Neuromusculoskeletal Medicine & OMM | 3125 Dr Russell Smith Way, Carthage, MO 64836-7402 | 2014-06-19 |
| 1841616349 | Randi S Norman | Physician Assistant | 3125 Dr Russell Smith Way, Carthage, MO 64836-7402 | 2014-03-10 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043871908 | Cura Personalis, (care for The Whole Person), LLC | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 11650 Bobwhite Road, Carthage, MO 64836 | 2019-06-21 |
| 1477098531 | Grace Theios, LLC | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 6031 County Road 105, Carthage, MO 64836 | 2016-12-28 |
| 1386095255 | Ozark Tri County Healthcare Consortium | Dentist | 215 E 3rd Street, Carthage, MO 64836 | 2016-06-22 |
| 1861668972 | Allison D. O'dell | Social Worker | 2411 Fairlawn Drive, Carthage, MO 64836 | 2008-05-08 |
| 1619142064 | Earl L Kirn | Social Worker | 2411 Fairlawn Ave, Carthage, MO 64836 | 2008-04-28 |
| 1235283912 | Mark F Saladin | Dentist | 1604 Missouri Avenue, Carthage, MO 64836 | 2007-01-22 |
| 1962570465 | Carthage Counseling LLC | Community/Behavioral Health | 2411 Fairlawn Dr, Carthage, MO 64836 | 2006-12-01 |
| 1023191665 | Wal-mart Stores East, Lp | Technician/Technologist | 2705 Grand Ave., Carthage, MO 64836 | 2006-10-24 |
| 1356437180 | Jannette Eldred | Social Worker | 1500 South Case Steet, Carthage, MO 64836 | 2006-10-05 |
| 1144251646 | Peter Richardson | Family Medicine | 719 W Centennial, Carthage, MO 64836 | 2006-07-05 |
| Find all providers in zip 64836 | ||||
| Taxonomy Code | 275N00000X |
| Grouping | Hospital Units |
| Classification | Medicare Defined Swing Bed Unit |
| A unit of a hospital that has a Medicare provider agreement and has been granted approval from HCFA to provide post-hospital extended care services and be reimbursed as a swing-bed unit. |
| Notes: Source: Code of Federal Regulations #42, Section 482.66. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891104717 | Carthage Area Hospital, Inc. | Medicare Defined Swing Bed Unit | 1001 West St, Carthage, NY 13619-9703 | 2014-08-05 |
| 1952679334 | Mercy Hospital Carthage | Medicare Defined Swing Bed Unit | 3125 Dr Russell Smith Way, Carthage, MO 64836-7402 | 2011-12-13 |
| 1609187715 | Smith County Memorial Hospital LLC | Medicare Defined Swing Bed Unit | 158 Hospital Dr, Carthage, TN 37030-1083 | 2010-06-24 |
| 1316158876 | Carthage Area Hospital Inc | Medicare Defined Swing Bed Unit | 1001 West St, Carthage, NY 13619-9703 | 2007-05-25 |
| 1306912209 | East Texas Medical Center Carthage | Medicare Defined Swing Bed Unit | 409 Cottage Rd, Carthage, TX 75633-1466 | 2006-11-24 |
| 1780621565 | Srhs Holdings LLC | Medicare Defined Swing Bed Unit | 158 Hospital Dr, Carthage, TN 37030-1083 | 2006-06-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013054212 | Ste Genevieve County Memorial Hospital | Medicare Defined Swing Bed Unit | 800 Sainte Genevieve Dr, Ste Genevieve, MO 63670-1434 | 2007-01-30 |
| 1104801547 | Barton County Memorial Hospital | Medicare Defined Swing Bed Unit | 29 Nw 1st Ln, Lamar, MO 64759-8105 | 2005-12-08 |
| 1245220052 | Ray County Memorial Hospital | Medicare Defined Swing Bed Unit | 904 Wollard Blvd, Richmond, MO 64085-2229 | 2005-10-24 |
| 1083601330 | Western Missouri Medical Center | Medicare Defined Swing Bed Unit | 403 Burkarth Rd, Warrensburg, MO 64093 | 2005-10-03 |
| 1407469778 | Noble Health Fulton Inc. | Medicare Defined Swing Bed Unit | 10 S Hospital Dr, Fulton, MO 65251-2510 | 2020-08-26 |
| 1558985911 | Poplar Bluff Regional Medical Center LLC | Medicare Defined Swing Bed Unit | 3100 Oak Grove Rd, Poplar Bluff, MO 63901-1573 | 2020-06-02 |
| 1568936995 | Mosaic Medical Center - Maryville | Medicare Defined Swing Bed Unit | 2016 S Main St, Maryville, MO 64468-2655 | 2019-01-18 |
| 1861861726 | Southeast Health Center of Reynolds LLC | Medicare Defined Swing Bed Unit | 100 Highway 21 N, Ellington, MO 63638-9409 | 2015-09-22 |
| 1023487162 | Southeast Health Center of Ripley County | Medicare Defined Swing Bed Unit | 109 Plum St, Doniphan, MO 63935-1277 | 2015-09-18 |
| 1093194888 | Southeast Health Center of Ripley County | Medicare Defined Swing Bed Unit | 109 Plum St, Doniphan, MO 63935-1277 | 2015-05-26 |
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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.