SULLIVAN COUNTY MEMORIAL HOSPITAL (NPI# 1114067832) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1114067832 |
| Entity Type | Organization |
| Organization Name | SULLIVAN COUNTY MEMORIAL HOSPITAL |
| Practice Address |
630 W 3rd St Milan MO 63556-1076 |
| Practice Telephone | 6602654212 |
| Practice Fax Number | 6602654898 |
| Mailing Telephone | 6602654212 |
| Mailing Fax Number | 6602654898 |
| Enumeration Date | 2007-02-08 |
| Last Update Date | 2012-06-01 |
| Authorized Official Name | AMY MICHAEL (CHIEF OPERATINGOFFICER) |
| Authorized Official Telephone | 6602654212 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 282NC0060X |
General Acute Care Hospital Specialization: Critical Access |
130-49 | MO | Hospitals |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MO | 010324804 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770624967 | Sullivan County Memorial Hospital | Clinic/Center | 106 North Main, Newtown, MO 64667-1000 | 2007-02-09 |
| 1518008218 | Sullivan County Memorial Hospital | Clinic/Center | 18 W 3rd St, Green City, MO 63545-1361 | 2007-02-08 |
| 1619065828 | Sullivan County Memorial Hospital | Clinic/Center | 210 N Market St, Milan, MO 63556-1316 | 2006-10-11 |
| 1275674699 | Sullivan County Memorial Hospital | General Acute Care Hospital | 630 W 3rd St, Milan, MO 63556-1076 | 2007-02-09 |
| 1063553642 | Sullivan County Memorial Hospital | Emergency Medicine | 630 W 3rd St, Milan, MO 63556-1076 | 2007-02-08 |
| 1285775858 | Sullivan County Memorial Hospital | Clinic/Center | 630 W 3rd St, Milan, MO 63556 | 2007-02-08 |
| 1598806168 | Sullivan County Memorial Hospital | Nursing Facility/Intermediate Care Facility | 630 W 3rd St, Milan, MO 63556-1076 | 2007-02-08 |
| Street Address |
630 W 3RD ST |
| City | MILAN |
| State | MO |
| Zip Code | 63556-1076 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659479061 | Thomas Edwin Williams | Family Medicine | 630 W 3rd St, Milan, MO 63556-1076 | 2006-09-20 |
| 1487005435 | Michelle Lynn Greathouse | Nurse Practitioner | 630 W 3rd St, Milan, MO 63556-1076 | 2016-06-30 |
| 1528324779 | Ryan Williams | Family Medicine | 630 W 3rd St, Milan, MO 63556-1076 | 2012-04-02 |
| 1780843623 | Martha Kay Curtis | Nurse Practitioner | 630 W 3rd St, Milan, MO 63556-1076 | 2008-06-05 |
| 1023159514 | Vivian Marlene Hall | Nurse Practitioner | 630 W 3rd St, Milan, MO 63556-1076 | 2007-02-09 |
| 1275674699 | Sullivan County Memorial Hospital | General Acute Care Hospital | 630 W 3rd St, Milan, MO 63556-1076 | 2007-02-09 |
| 1063553642 | Sullivan County Memorial Hospital | Emergency Medicine | 630 W 3rd St, Milan, MO 63556-1076 | 2007-02-08 |
| 1285775858 | Sullivan County Memorial Hospital | Clinic/Center | 630 W 3rd St, Milan, MO 63556 | 2007-02-08 |
| 1598806168 | Sullivan County Memorial Hospital | Nursing Facility/Intermediate Care Facility | 630 W 3rd St, Milan, MO 63556-1076 | 2007-02-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366786246 | Rolling Hills Residential Care Facility, LLC | Assisted Living Facility | 24583 Hwy 5, Milan, MO 63556 | 2012-11-16 |
| 1326160821 | High Hope Employment Services, Inc. | Day Training, Developmentally Disabled Services | 708 North Pearl, Milan, MO 63556 | 2007-04-04 |
| 1114008281 | Stephanie Alvera Granneman | Nurse Practitioner | 210 N Market St, Milan, MO 63556 | 2006-10-17 |
| 1801968979 | Daniel Hoelzel Crtt Inc | Durable Medical Equipment & Medical Supplies | 19269 Daisy Dr, Milan, MO 63556-0065 | 2006-11-14 |
| 1194856203 | Sullivan County Health Department | Case Management | 101 Hawthorne Dr, Milan, MO 63556-1017 | 2007-03-08 |
| 1790781136 | Sullivan County Ambulance District | Ambulance | 113 S Leewood Dr, # 1, Milan, MO 63556-1100 | 2005-06-21 |
| 1053440032 | Sheila F King | Speech-Language Pathologist | 373 S Market St, Milan, MO 63556-1182 | 2007-03-05 |
| 1407136393 | Ashley L Gardner | Speech-Language Pathologist | 373 S Market St, Milan, MO 63556-1182 | 2011-08-23 |
| 1487859120 | Ann E Mcdonald | Local Education Agency (LEA) | 373 S Market St, Milan, MO 63556-1182 | 2007-06-20 |
| 1053437806 | School Dist 2 Milan | Local Education Agency (LEA) | 373 S Market St, Milan, MO 63556-1182 | 2007-03-22 |
| Find all providers in zip 63556 | ||||
| Taxonomy Code | 282NC0060X |
| Grouping | Hospitals |
| Classification | General Acute Care Hospital |
| Specialization | Critical Access |
| Definition to come. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275674699 | Sullivan County Memorial Hospital | General Acute Care Hospital | 630 W 3rd St, Milan, MO 63556-1076 | 2007-02-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356689905 | Southeast Health Center of Reynolds County LLC | General Acute Care Hospital | 100 Hwy 21, Ellington, MO 63638-7943 | 2013-01-16 |
| 1467789222 | Va Medical Center In St.louis | General Acute Care Hospital | 9830 Eastdell Dr, Saint Louis, MO 63136-1915 | 2009-11-14 |
| 1750512042 | Vicky Laurine Simbro | General Acute Care Hospital | 4505 Cove Rd, Osage Beach, MO 65065-2307 | 2009-08-04 |
| 1710177480 | Wisam Hassan Ali Al Badr | General Acute Care Hospital | 3635 Grand Blvd, Saint Louis, MO 63110-2539 | 2007-07-30 |
| 1619179561 | Saint Louis University Medical Center | General Acute Care Hospital | 1402 S Grand Blvd # M238, Saint Louis, MO 63104-1004 | 2007-06-04 |
| 1962578609 | Hermann Area Hospital District | General Acute Care Hospital | 509 West 18th St, Hermann, MO 65041 | 2006-11-27 |
| 1477648178 | Iron County Hospital District | General Acute Care Hospital | 301 N Highway 21, Pilot Knob, MO 63663-0548 | 2006-10-04 |
| 1023053477 | Mercy St. Francis Hospital | General Acute Care Hospital | 100 West Highway 60, Mountain View, MO 65548 | 2006-06-19 |
| 1912948308 | Saint Lukes Hospital of Chillicothe | General Acute Care Hospital | 2799 N Washington, Chillicothe, MO 64601-2902 | 2006-06-09 |
| 1720039605 | Cedar County Memorial Hospital | General Acute Care Hospital | 1401 S Park St, El Dorado Springs, MO 64744-2037 | 2006-05-15 |
| Find all providers with the same taxonomy | ||||
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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.