SALEM MEMORIAL HOSPITAL (NPI# 1922345800) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1922345800 |
| Entity Type | Organization |
| Organization Name | SALEM MEMORIAL HOSPITAL |
| Other Organization Name | SMDH CENTER FOR FAMILY HEALTH |
| Practice Address |
35629 Highway 72 Building 1 Salem MO 65560-7217 |
| Mailing Address |
Po Box 680 Salem MO 65560-0680 |
| Practice Telephone | 5737295917 |
| Practice Fax Number | 5737394759 |
| Mailing Telephone | 5737295917 |
| Mailing Fax Number | 5737394759 |
| Enumeration Date | 2013-01-11 |
| Last Update Date | 2014-04-11 |
| Authorized Official Name | MS. REBECCA CUNNINGHAM (CONTROLLER) |
| Authorized Official Telephone | 5737295917 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 261QR1300X |
Clinic/Center Specialization: Rural Health |
Ambulatory Health Care Facilities | ||
| Y | 207Q00000X | Family Medicine | 2007013987 | MO | Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| SMDH Center for Family Health | 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 |
| 1821243981 | Salem Memorial Hospital | Clinic/Center | 35629 Hwy 72, Bld. 3, Salem, MO 65560-0719 | 2008-11-17 |
| 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 HIGHWAY 72 BUILDING 1 |
| City | SALEM |
| State | MO |
| Zip Code | 65560-7217 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639177561 | Salem Memorial Hospital | General Acute Care Hospital | 35629 Highway 72, Salem, MO 65560-7217 | 2005-07-13 |
| 1760966188 | Mandi Nicole Parks | Nurse Practitioner | 35629 Highway 72, Salem, MO 65560-7217 | 2018-09-21 |
| 1851891709 | Jill Dean | Occupational Therapy Assistant | 35629 Highway 72, Salem, MO 65560-7217 | 2018-02-16 |
| 1902346240 | Sarah Knott | Physical Therapy Assistant | 35629 Highway 72, Salem, MO 65560-7217 | 2017-03-06 |
| 1306226998 | Zachary Moser | Pharmacist | 35629 Highway 72, Salem, MO 65560-7217 | 2015-06-09 |
| 1730566274 | Melody Marie Montgomery | Pharmacist | 35629 Highway 72, Salem, MO 65560-7217 | 2015-05-05 |
| 1548682339 | Nicole L Hancock | Dietitian, Registered | 35629 Highway 72, Salem, MO 65560-7217 | 2014-01-13 |
| 1891034229 | Qmb Radiology LLC | Radiologic Technologist | 35629 Highway 72, Salem, MO 65560-7217 | 2013-02-05 |
| 1255661690 | Radex, Inc | Radiologic Technologist | 35629 Highway 72, Salem, MO 65560-7217 | 2010-01-07 |
| 1114062387 | Anne M Delonais-turner | Emergency Medicine | 35629 Highway 72, Salem, MO 65560-7217 | 2007-02-21 |
| Find all providers in the same location | ||||
| 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 |
| 1750589024 | Vicky L Gulley | Emergency Medicine | 35629 Hwy 72, Pob 1, Suite 3, Salem, MO 65560 | 2007-07-06 |
| 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 |
| Find all providers in zip 65560 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710373444 | Larry Bassinger | Family Medicine | 1300 Broadway St Ne Ste 104, Salem, OR 97301-1420 | 2015-04-09 |
| 1396144507 | Constance Johanson | Family Medicine | 3959 Croisan Creek Rd S, Salem, OR 97302-9474 | 2014-08-14 |
| 1457792699 | Sultan Seretis Bussey Hospitalist LLC | Family Medicine | 310 Route 45, Salem, NJ 08079-2064 | 2013-07-16 |
| 1629338470 | Derek Koller | Family Medicine | 6861 Lemongrass Loop Se, Salem, OR 97306-1474 | 2012-05-25 |
| 1962712927 | Paul Julian Perrin | Family Medicine | 525 Ferry St Se, Suite 203, Salem, OR 97301 | 2010-10-08 |
| 1326372558 | Robert Verne Bain | Family Medicine | 2280 Kuebler Road, South, Salem, OR 97302 | 2009-09-21 |
| 1902036320 | James A. Auerbach, M.d., P.C. | Family Medicine | 4747 Skyline Rd S, Suite 190, Salem, OR 97306-4200 | 2009-07-20 |
| 1033347430 | Jeanette Walker | Family Medicine | 5560 Witzel Rd Se, Salem, OR 97317-9142 | 2009-06-24 |
| 1871747188 | Carmelle Marie Andrine Constant | Family Medicine | 84 Highland Ave Ste 309, Salem, MA 01970-2733 | 2008-11-13 |
| 1518127927 | Mazen I Madhoun | Family Medicine | 3737 W Main St Ste 101, Salem, VA 24153-2073 | 2008-06-10 |
| 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.