PIKE COUNTY MEMORIAL HOSPITAL (NPI# 1992159438) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1992159438 |
| Entity Type | Organization |
| Organization Name | PIKE COUNTY MEMORIAL HOSPITAL |
| Other Organization Name | PCMH CLINIC |
| Practice Address |
1015 W Adams St Bowling Green MO 63334-1974 |
| Practice Telephone | 5733245300 |
| Practice Fax Number | 5733246059 |
| Mailing Telephone | 5733245300 |
| Mailing Fax Number | 5733246059 |
| Enumeration Date | 2016-04-21 |
| Last Update Date | 2016-04-26 |
| Authorized Official Name | JUSTIN SELLE (CEO) |
| Authorized Official Telephone | 5737545531 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MO | MEDICARE PTAN | 000012300 | 01 |
| Other Name | Type Code |
|---|---|
| PCMH Clinic | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134633456 | Pike County Memorial Hospital | Clinic/Center | 1420 S Business 61 Unit Fde, Bowling Green, MO 63334-5230 | 2017-11-22 |
| 1114072857 | Pike County Memorial Hospital | General Practice | 1124 N Washington Ave, Murfreesboro, AR 71958-0000 | 2007-01-24 |
| 1659487932 | Pike County Memorial Hospital | Registered Nurse | 315 E 13th St, Murfreesboro, AR 71958-9541 | 2006-08-21 |
| 1205837218 | Pike County Memorial Hospital | General Acute Care Hospital | 2305 W. Georgia St, Louisiana, MO 63353-2559 | 2005-08-02 |
| 1891201331 | Pike County Memorial Hospital | Family Medicine | 425 N Galloway Rd, Vandalia, MO 63382-1259 | 2017-12-20 |
| 1962933143 | Pike County Memorial Hospital | Family Medicine | 1420 S Business 61, Unit Fde, Bowling Green, MO 63334-5230 | 2017-03-21 |
| 1538513072 | Pike County Memorial Hospital | Family Medicine | 2305 Georgia St, Louisiana, MO 63353-2559 | 2016-04-21 |
| 1033578588 | Pike County Memorial Hospital | Family Medicine | 425 N Galloway Rd, Vandalia, MO 63382-1259 | 2016-02-12 |
| 1588989867 | Pike County Memorial Hospital | General Acute Care Hospital | Po Box F, Murfreesboro, AR 71958-1005 | 2010-03-30 |
| 1518117449 | Pike County Memorial Hospital | General Acute Care Hospital | 315 E 13th St, Murfreesboro, AR 71958-9541 | 2008-09-29 |
| Street Address |
1015 W ADAMS ST |
| City | BOWLING GREEN |
| State | MO |
| Zip Code | 63334-1974 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306858659 | Debra Kay Beckman | Nurse Practitioner | 1015 W Adams St, Bowling Green, MO 63334-1974 | 2006-08-13 |
| 1528542966 | Emily Grace Jensen | Physician Assistant | 1015 W Adams St, Bowling Green, MO 63334-1974 | 2018-09-21 |
| 1023456787 | Dialysis Clinic Inc. | Clinic/Center | 1015 W Adams St, Bowling Green, MO 63334-1974 | 2013-06-04 |
| 1568664308 | Howard Jay Schneider | Dentist | 1015 W Adams St, Bowling Green, MO 63334 | 2007-06-04 |
| 1124030424 | Pike County Memorial Hospital | Clinic/Center | 1015 W Adams St, Bowling Green, MO 63334-1974 | 2006-08-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992348304 | Heartland Hearing Center | Hearing Instrument Specialist | 313 Ste D South Business 61, Bowling Green, MO 63334 | 2019-10-18 |
| 1588168215 | Bgmg Corporation | Family Medicine | 905 Business 161, Bowling Green, MO 63334 | 2018-03-19 |
| 1972012193 | Gale Marie Schlogl | Nurse Practitioner | 8 Bowling Green Town Center Drive, Hannibal Regional Medical Group, Bowling Green, MO 63334 | 2017-09-20 |
| 1609112754 | Advance Hannibal Regional Hospital, LLC | Physical Therapist | 710 Bus. Hwy 61 South, Bowling Green, MO 63334 | 2012-12-18 |
| 1346447158 | Tomas V Cabrera | Contractor | 13698 Pike 46 Airport Road, Bowling Green, MO 63334 | 2007-06-27 |
| 1720143621 | North East Commuinty Action Corp | Home Health Aide | 16 North Court Street, Bowling Green, MO 63334 | 2006-12-22 |
| 1649361205 | Anita J Huber | Chiropractor | 1420 Bus. Hwy. 61 South, Suite D, Bowling Green, MO 63334 | 2006-09-27 |
| 1912930397 | Dialysis Clinic Inc. | Clinic/Center | 4 Town Center Dr Ste F, Bowling Green, MO 63334 | 2006-07-08 |
| 1275918856 | Stephanie Diane Walker | Nurse Practitioner | 1420 S Business 61, Bowling Green, MO 63334 | 2015-07-24 |
| 1952522054 | Pike County Health Dept Home Health | Public Health or Welfare | 1 Health Care Place, Bowling Green, MO 63334 | 2007-05-02 |
| Find all providers in zip 63334 | ||||
| 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 |
|---|---|---|---|---|
| 1235691619 | Kelly Marie Miller | Family Medicine | 1420 S Business 61 Ste Def, Bowling Green, MO 63334-5230 | 2019-04-03 |
| 1588168215 | Bgmg Corporation | Family Medicine | 905 Business 161, Bowling Green, MO 63334 | 2018-03-19 |
| 1992180772 | Commonwealth Health Corporation, Inc. | Family Medicine | 825 2nd Ave Ste B3, Bowling Green, KY 42101-1790 | 2015-07-22 |
| 1306229968 | Jerry Wayne Martin | Family Medicine | 2162 Nashville Road, Bowling Green, KY 42101-3849 | 2015-07-01 |
| 1063696003 | John C Tapp Md | Family Medicine | 414 Old Morgantown Rd, Bowling Green, KY 42101-2842 | 2007-12-27 |
| 1467650101 | Jennifer Imara Hayes-bethel | Family Medicine | 8 Town Center Dr, Bowling Green, MO 63334-2803 | 2007-07-03 |
| 1740407667 | Mcmd, Psc | Family Medicine | 1340 Ellis Place, Bowling Green, KY 42104 | 2007-04-20 |
| 1407972862 | E J Kuebeck Md Inc | Family Medicine | 1052 W Wooster St, Bowling Green, OH 43402 | 2007-03-21 |
| 1659419737 | Kevin D Dew | Family Medicine | 2508 Scottsville Rd, Suite 104, Bowling Green, KY 42104-4400 | 2007-02-02 |
| 1003994013 | William E Feeman Jr. | Family Medicine | 640 S Wintergarden Rd, Bowling Green, OH 43402-3544 | 2006-11-01 |
| Find all providers in BOWLING GREEN | ||||
| City | BOWLING GREEN |
| Zip Code | 63334 |
Please comment or provide details below to improve the information on PIKE COUNTY MEMORIAL 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.