MACON COUNTY SAMARITAN HOSPITAL (NPI# 1457390114) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1457390114 |
| Entity Type | Organization |
| Organization Name | MACON COUNTY SAMARITAN HOSPITAL |
| Other Organization Name | SAMARITAN HOSPITAL |
| Practice Address |
1205 N Missouri St Macon MO 63552-2095 |
| Practice Telephone | 6603858700 |
| Practice Fax Number | 6603858701 |
| Mailing Telephone | 6603858700 |
| Mailing Fax Number | 6603858701 |
| Enumeration Date | 2006-06-06 |
| Last Update Date | 2011-05-03 |
| Authorized Official Name | SUSAN J SPENCER (CFO) |
| Authorized Official Telephone | 6603858716 |
| Authorized Official Credential | CPA |
| Is Organization Subpart | Y |
| Parent Organization Name | MACON COUNTY SAMARITAN HOSPITAL |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QE0700X |
Clinic/Center Specialization: End-Stage Renal Disease (ESRD) Treatment |
Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| Samaritan Hospital | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437666872 | Macon County Samaritan Hospital | Clinic/Center | 1201 N Rutherford St, Macon, MO 63552-2020 | 2018-01-08 |
| 1437419199 | Macon County Samaritan Hospital | Emergency Medicine | 1205 N Missouri St, Macon, MO 63552-2095 | 2012-05-29 |
| 1891820858 | Macon County Samaritan Hospital | Ambulance | 1205 N Missouri St, Macon, MO 63552-2095 | 2007-02-22 |
| 1891734505 | Macon County Samaritan Hospital | Clinic/Center | 1201 N Rutherford St, Macon, MO 63552-2020 | 2006-06-06 |
| 1699714303 | Macon County Samaritan Hospital | General Acute Care Hospital | 1205 N Missouri St, Macon, MO 63552-2095 | 2006-06-06 |
| 1548209794 | Macon County Samaritan Hospital | Home Health | 1205 N Missouri St, Macon, MO 63552-2095 | 2006-06-05 |
| 1548215106 | Macon County Samaritan Hospital | Ambulance | 1205 N Missouri St, Macon, MO 63552-2095 | 2006-05-23 |
| Street Address |
1205 N MISSOURI ST |
| City | MACON |
| State | MO |
| Zip Code | 63552-2095 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629043575 | Harvey Norman Clarkson | Emergency Medicine | 1205 N Missouri St, Macon, MO 63552-2095 | 2006-02-22 |
| 1841686029 | Aaron Neisen | Family Medicine | 1205 N Missouri St, Macon, MO 63552-2095 | 2015-04-14 |
| 1437419199 | Macon County Samaritan Hospital | Emergency Medicine | 1205 N Missouri St, Macon, MO 63552-2095 | 2012-05-29 |
| 1588944011 | Jay Nastav | Emergency Medicine | 1205 N Missouri St, Macon, MO 63552-2095 | 2011-08-29 |
| 1992034276 | Curators of The University of Missouri | Surgery | 1205 N Missouri St, Macon, MO 63552-2095 | 2009-12-15 |
| 1891820858 | Macon County Samaritan Hospital | Ambulance | 1205 N Missouri St, Macon, MO 63552-2095 | 2007-02-22 |
| 1255407086 | Clayton Earl Whetmore | Emergency Medicine | 1205 N Missouri St, Macon, MO 63552-2095 | 2006-11-24 |
| 1699714303 | Macon County Samaritan Hospital | General Acute Care Hospital | 1205 N Missouri St, Macon, MO 63552-2095 | 2006-06-06 |
| 1548209794 | Macon County Samaritan Hospital | Home Health | 1205 N Missouri St, Macon, MO 63552-2095 | 2006-06-05 |
| 1548215106 | Macon County Samaritan Hospital | Ambulance | 1205 N Missouri St, Macon, MO 63552-2095 | 2006-05-23 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891194783 | Dialysis Clinic Inc | Clinic/Center | 1203 N. Missouri St, Macon, MO 63552 | 2014-08-18 |
| 1477624161 | Charles Edgar Averill Jr. | Occupational Therapist | 704a South Missouri, Macon, MO 63552 | 2006-11-13 |
| 1629035084 | Missouri Cvs Pharmacy, L.L.C. | Pharmacy | 1105 N Rutherford St, Macon, MO 63552 | 2006-04-28 |
| 1659560688 | Iris Ladawn Gaerditz | Speech-Language Pathologist | 702 N Missouri St, Macon, MO 63552 | 2007-10-16 |
| 1841316296 | Paul Vincent Lane | Physical Therapist | 2005 N. Missouri St., Suite D, Macon, MO 63552-0381 | 2007-03-21 |
| 1891908612 | Mid Missouri Physical Therapy | Physical Therapist | 2005 N. Missouri St., Suite D, Macon, MO 63552-0381 | 2007-05-08 |
| 1366568735 | Lara Beth Jones | Physical Therapist | 2005 N. Missouri St., Suite D., Macon, MO 63552-0381 | 2007-03-21 |
| 1871619262 | Abby M Lane | Physical Therapist | 2005 N. Missouri St., Suite D, Macon, MO 63552-0387 | 2007-03-21 |
| 1457715906 | Kimberly Oroke | Social Worker | 821 Charles St, Columbia, MO 63552-1064 | 2016-04-11 |
| 1679100507 | Macon County Sheltered Workshop | Private Vehicle | 1103 Enterprise Rd, Macon, MO 63552-1305 | 2020-03-23 |
| Find all providers in zip 63552 | ||||
| Taxonomy Code | 261QE0700X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | End-Stage Renal Disease (ESRD) Treatment |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265058275 | Dialysis Care Center Pleasant Hill LLC | Clinic/Center | 1425 Georgia Ave Ste 102, Macon, GA 31201-6546 | 2020-06-25 |
| 1952819419 | Putnam Dialysis LLC | Clinic/Center | 657 Hemlock Street, Suite 200, Macon, GA 31201 | 2018-01-18 |
| 1396257010 | Leawood Dialysis LLC | Clinic/Center | 640 Martin Luther King Jr Blvd Ste 100, Macon, GA 31201-3297 | 2017-11-03 |
| 1699298794 | Macon Eastside Dialysis Center LLC | Clinic/Center | 640 North Ave Ste H, Macon, GA 31211-1455 | 2017-07-20 |
| 1881080950 | Dsi Macon, LLC | Clinic/Center | 657 Hemlock St Ste 100, Macon, GA 31201-8331 | 2015-04-15 |
| 1073910485 | Macon Southside Dialysis Center LLC | Clinic/Center | 2117 Eisenhower Pkwy, Macon, GA 31206-3185 | 2014-12-01 |
| 1891194783 | Dialysis Clinic Inc | Clinic/Center | 1203 N. Missouri St, Macon, MO 63552 | 2014-08-18 |
| 1962825844 | Georgia Kidney Institute,llc | Clinic/Center | 1625 Hardeman Ave, Macon, GA 31201-1417 | 2014-01-28 |
| 1598877300 | Bio-medical Applications of Georgia Inc | Clinic/Center | 2500 2nd St, Macon, GA 31206-2224 | 2006-08-31 |
| 1114039948 | Bio-medical Applications of Georgia Inc | Clinic/Center | 280 Clinton St, Macon, GA 31217-3954 | 2006-08-31 |
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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.