KIRKSVILLE MISSOURI HOSPITAL COMPANY LLC (NPI# 1346215944) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1346215944 |
| Entity Type | Organization |
| Organization Name | KIRKSVILLE MISSOURI HOSPITAL COMPANY LLC |
| Other Organization Name | FAMILY HEALTH CENTER OF EDINA |
| Practice Address |
205 S 5th St Edina MO 63537-1526 |
| Mailing Address |
Po Box 7972 Belfast ME 04915-7900 |
| Practice Telephone | 6603972400 |
| Enumeration Date | 2006-02-17 |
| 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 | 261QR1300X |
Clinic/Center Specialization: Rural Health |
462-4 | MO | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MO | 597774900 | 05 | |
| BCBS | 10294M | 01 |
| Other Name | Type Code |
|---|---|
| Family Health Center of Edina | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225027642 | Kirksville Missouri Hospital Company LLC | Home Health | 2412a S Franklin St, Kirksville, MO 63501-4616 | 2005-10-18 |
| 1538789797 | Kirksville Missouri Hospital Company LLC | Clinical Medical Laboratory | 315 S Osteopathy Ave, Kirksville, MO 63501-6401 | 2020-04-17 |
| 1164776944 | Kirksville Missouri Hospital Company LLC | Internal Medicine | 205 S 5th St, Edina, MO 63537-1526 | 2012-11-01 |
| 1336491448 | Kirksville Missouri Hospital Company LLC | Internal Medicine | 1607 S Baltimore St, Kirksville, MO 63501-4536 | 2012-10-12 |
| 1508135005 | Kirksville Missouri Hospital Company LLC | Clinic/Center | 1607 S Baltimore St, Kirksville, MO 63501-4536 | 2011-12-29 |
| 1871566067 | Kirksville Missouri Hospital Company LLC | Skilled Nursing Facility | 315 S Osteopathy, Kirksville, MO 63501-6401 | 2006-02-09 |
| Street Address |
205 S 5TH ST |
| City | EDINA |
| State | MO |
| Zip Code | 63537-1526 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164776944 | Kirksville Missouri Hospital Company LLC | Internal Medicine | 205 S 5th St, Edina, MO 63537-1526 | 2012-11-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093186579 | Hannah Katherine Dale | Physical Therapy Assistant | 55774, 6 State Hwy D, Edina, MO 63537 | 2015-10-09 |
| 1962840777 | Angela M Bronestine | Occupational Therapist | 55774 Mo-6, Edina, MO 63537 | 2013-06-13 |
| 1174643332 | Knox County Ambulance District | Ambulance | 610 East Lafayette Street, Rr3 Box 30a, Edina, MO 63537 | 2007-03-30 |
| 1811168107 | Nancy Alice Brandl | Licensed Practical Nurse | 106 4th Ave No, Fergus Falls, MN 63537-1034 | 2008-03-14 |
| 1871574210 | Knox County Health Department | Public Health or Welfare | 207 N 1st St, Edina, MO 63537-1127 | 2005-11-11 |
| 1417469537 | Knox County Health Department | Public Health or Welfare | 102 W Monticello St, Edina, MO 63537-1150 | 2017-10-30 |
| 1114276532 | Knox County Pharmacy LLC | Pharmacy | 105 E Reid St Ste C, Edina, MO 63537-1155 | 2012-08-30 |
| 1023094240 | Beth M Schrage | Nurse Practitioner | 100 E Jackson St, Edina, MO 63537-1335 | 2005-12-20 |
| 1881730893 | Northeast Missouri Health Council, Inc. | Family Medicine | 104 E Jackson St, Edina, MO 63537-1335 | 2007-01-29 |
| 1437423100 | Hrw, Inc. | Psychiatric Residential Treatment Facility | 300 N Main St, Edina, MO 63537-1353 | 2012-02-28 |
| Find all providers in zip 63537 | ||||
| Taxonomy Code | 261QR1300X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Rural Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891325072 | Scotland County Memorial Hospital | Clinic/Center | 55682 State Highway 6 Ste A, Edina, MO 63537-4268 | 2020-01-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871102137 | Washington County Memorial Hospital | Clinic/Center | 14206 Hwy C, Belgrade, MO 63622 | 2020-07-23 |
| 1639736457 | Southeast Health Center of Stoddard County LLC | Clinic/Center | 800 Us Highway 61, New Madrid, MO 63869-1106 | 2019-05-28 |
| 1134633456 | Pike County Memorial Hospital | Clinic/Center | 1420 S Business 61 Unit Fde, Bowling Green, MO 63334-5230 | 2017-11-22 |
| 1720505894 | Perry County Health System | Clinic/Center | 210 Hospital Ln Ste 202, Perryville, MO 63775-4200 | 2017-08-29 |
| 1427572007 | Missouri Delta Medical Center | Clinic/Center | 209 W Yoakum Ave, Chaffee, MO 63740-1138 | 2017-07-26 |
| 1790213676 | Jackson Primary Care LLC | Clinic/Center | 2685 E Main St Ste A, Jackson, MO 63755-2474 | 2017-05-23 |
| 1972050581 | Sgoh Acquisition, Inc. | Clinic/Center | 912b State Highway 59, Goodman, MO 64843-8252 | 2016-09-01 |
| 1144605312 | Nevada City Hospital | Clinic/Center | 627 S Ash St Ste B, Nevada, MO 64772 | 2015-07-29 |
| 1669856829 | Ssm Regional Health Services | Clinic/Center | 2511 W Edgewood Dr Ste F, Jefferson City, MO 65109-5869 | 2015-07-16 |
| 1831515907 | Marble Hill Medical Clinic, LLC | Clinic/Center | 307 Broadway St., Marble Hill, MO 63764-8321 | 2014-03-12 |
| 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.