KIRKSVILLE MISSOURI HOSPITAL COMPANY, LLC (NPI# 1932172293) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1932172293 |
| Entity Type | Organization |
| Organization Name | KIRKSVILLE MISSOURI HOSPITAL COMPANY, LLC |
| Other Organization Name | NORTHEAST REGIONAL MEDICAL CENTER |
| Practice Address |
315 S Osteopathy Kirksville MO 63501-6401 |
| Mailing Address |
Po Box 503525 Saint Louis MO 63150-3525 |
| Practice Telephone | 6607851000 |
| Enumeration Date | 2006-02-08 |
| Last Update Date | 2018-03-09 |
| Authorized Official Name | PAULA M LALOR (DIRECTOR/DELEGATED OFFICIAL) |
| Authorized Official Telephone | 6159254565 |
| Is Organization Subpart | Y |
| Parent Organization Name | KIRKSVILLE MISSOURI HOSPITAL COMPANY, LLC |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 275N00000X | Medicare Defined Swing Bed Unit | 462-4 | MO | Hospital Units |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MO | 010601201 | 05 | |
| BCBS | 10104 | 01 |
| Other Name | Type Code |
|---|---|
| Northeast Regional Medical Center | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104899442 | Kirksville Missouri Hospital Company, LLC | General Acute Care Hospital | 315 S Osteopathy, Kirksville, MO 63501-6401 | 2006-02-08 |
| Street Address |
315 S OSTEOPATHY |
| City | KIRKSVILLE |
| State | MO |
| Zip Code | 63501-6401 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104899442 | Kirksville Missouri Hospital Company, LLC | General Acute Care Hospital | 315 S Osteopathy, Kirksville, MO 63501-6401 | 2006-02-08 |
| 1437109527 | Emcare Physician Providers, Inc. | Emergency Medicine | 315 S Osteopathy, Kirksville, MO 63501-6401 | 2006-05-11 |
| 1174572770 | Northeast Missouri Physicians Services | Emergency Medicine | 315 S Osteopathy, Kirksville, MO 63501-6401 | 2006-05-09 |
| 1871566067 | Kirksville Missouri Hospital Company LLC | Skilled Nursing Facility | 315 S Osteopathy, Kirksville, MO 63501-6401 | 2006-02-09 |
| 1396718649 | Kirksville Missouri Hosptial Company LLC | Rehabilitation Unit | 315 S Osteopathy, Kirksville, MO 63501-6401 | 2006-02-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245855642 | Tiffany Anna Athon | Pharmacist | Hy-vee Pharmacy, 500 N Baltimore, Kirksville, MO 63501 | 2020-06-11 |
| 1649829425 | Jillian Jo Pulis | Speech-Language Pathologist | 1300 S Cottage Ave, Kirksville, MO 63501 | 2019-09-05 |
| 1023662319 | Leah Dawn Murphy | Occupational Therapy Assistant | 1705 E La Harpe St, Kirksville, MO 63501 | 2019-07-25 |
| 1902302912 | Brittney Frances Snelling | Specialist/Technologist | 26820 State Hwy 11, Kirksville, MO 63501 | 2018-03-30 |
| 1063931434 | Kara Wehmeyer | Specialist/Technologist | 100 East Normal, Kirksville, MO 63501 | 2017-09-16 |
| 1285080796 | Hawkins Boone Mecham | General Practice | 407 S Main St # 2, Kirksville, MO 63501 | 2016-05-13 |
| 1003287848 | Lacosta Gaines | Nurse Practitioner | 1607 South Baltimore, Kirksville, MO 63501 | 2015-10-19 |
| 1427442573 | Madi Hoppe | Specialist/Technologist | 23571 Crest Trail, Kirksville, MO 63501 | 2015-03-26 |
| 1407247133 | High Hope Employment Services, Inc. | Day Training, Developmentally Disabled Services | 906 East Shepherd Avenue, Kirksville, MO 63501 | 2015-02-17 |
| 1497069694 | Ella Marie Callison | Physician Assistant | 1611 S Baltimore St Ste A, Kirksville, MO 63501 | 2010-07-29 |
| Find all providers in zip 63501 | ||||
| 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 |
|---|---|---|---|---|
| 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 |
| Find all providers with the same taxonomy | ||||
| City | KIRKSVILLE |
| Zip Code | 63501 |
Please comment or provide details below to improve the information on KIRKSVILLE MISSOURI HOSPITAL COMPANY, LLC.
| 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.