MCCUNE-BROOKS HOSPITAL (NPI# 1104999762) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1104999762 |
Entity Type | Organization |
Organization Name | MCCUNE-BROOKS HOSPITAL |
Other Organization Name | MCCUNE-BROOKS HOSPITAL |
Practice Address |
3125 Dr Russell Smith Way Carthage MO 64836-7402 |
Practice Telephone | 4173588121 |
Practice Fax Number | 4172377240 |
Mailing Telephone | 4173588121 |
Mailing Fax Number | 4172377240 |
Enumeration Date | 2006-11-15 |
Last Update Date | 2008-06-06 |
Authorized Official Name | MR. ROBERT Y COPELAND JR. (CEO) |
Authorized Official Telephone | 4173592655 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 261QE0002X |
Clinic/Center Specialization: Emergency Care |
23-48 | MO | Ambulatory Health Care Facilities |
State | Issuer | Identifier | Type Code |
---|---|---|---|
MO | MERCY HEALTH PLANS | 50053 | 01 |
MO | 540670908 | 05 | |
MO | BLUE CROSS BLUE SHIELD | 115971 | 01 |
Other Name | Type Code |
---|---|
McCune-Brooks Hospital | Doing Business As Name - Organization |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1790860575 | Mccune-brooks Hospital | General Acute Care Hospital | 3125 Dr Russell Smith Way, Carthage, MO 64836-7402 | 2006-10-27 |
1033294889 | Mccune-brooks Hospital | Psychiatric Unit | 3125 Dr Russell Smith Way, Carthage, MO 64836-7402 | 2006-10-26 |
1376643304 | Mccune-brooks Hospital | Ambulance | 3125 Dr Russell Smith Way, Carthage, MO 64836-7402 | 2006-09-22 |
Street Address |
3125 DR RUSSELL SMITH WAY |
City | CARTHAGE |
State | MO |
Zip Code | 64836-7402 |
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 |
1912392861 | Mercy Hospital Carthage | Medicare Defined Swing Bed Unit | 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 |
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 | 261QE0002X |
Grouping | Ambulatory Health Care Facilities |
Classification | Clinic/Center |
Specialization | Emergency Care |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1639112626 | Community Ambulance Service Inc | Clinic/Center | 203 N Walnut, Meta, MO 65058-0132 | 2006-06-14 |
1841828746 | Meritas Health Corporation | Clinic/Center | 2800 Clay Edwards Dr, North Kansas City, MO 64116-3220 | 2020-03-28 |
1578668661 | Pemiscot County Memorial Hospital | Clinic/Center | 946 E Reed St, Hayti, MO 63851-1243 | 2006-09-13 |
1104866656 | Washington University | Clinic/Center | 660 S Euclid Ave, Saint Louis, MO 63110-1010 | 2006-06-06 |
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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.