PINNACLE REGIONAL HOSPITAL, LLC (NPI# 1548480601) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1548480601 |
Entity Type | Organization |
Organization Name | PINNACLE REGIONAL HOSPITAL, LLC |
Practice Address |
17651 B Hwy Boonville MO 65233 |
Mailing Address |
17651 B Hwy Boonville MO 65233-2839 |
Practice Telephone | 6608827461 |
Practice Fax Number | 6608826093 |
Enumeration Date | 2007-04-30 |
Last Update Date | 2019-03-12 |
Authorized Official Name | JENNIFER SKANES (RHC MANAGER) |
Authorized Official Telephone | 6608827461 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 275N00000X | Medicare Defined Swing Bed Unit | 24836 | MO | Hospital Units |
Y | 275N00000X | Medicare Defined Swing Bed Unit | 248-47 | MO | Hospital Units |
Other Name | Type Code |
---|---|
cooper county memorial hospital | Former Legal Business Name - Organization |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1730178864 | Pinnacle Regional Hospital, LLC | General Acute Care Hospital | 17651 B Hwy, Boonville, MO 65233 | 2005-10-20 |
1780160366 | Pinnacle Regional Hospital, LLC | Family Medicine | 17651 B Hwy, Boonville, MO 65233-2839 | 2018-07-17 |
Street Address |
17651 B HWY |
City | BOONVILLE |
State | MO |
Zip Code | 65233 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1730178864 | Pinnacle Regional Hospital, LLC | General Acute Care Hospital | 17651 B Hwy, Boonville, MO 65233 | 2005-10-20 |
1780160366 | Pinnacle Regional Hospital, LLC | Family Medicine | 17651 B Hwy, Boonville, MO 65233-2839 | 2018-07-17 |
1003247537 | Meramec Emergency Physicians, LLP | Hospitalist | 17651 B Hwy, Boonville, MO 65233-2839 | 2013-12-10 |
1447562871 | Danielle Christine Woodson | Occupational Therapist | 17651 B Hwy, Boonville, MO 65233-2839 | 2010-07-14 |
1487807657 | Cooper County Memorial Hospital | General Acute Care Hospital | 17651 B Hwy, Boonville, MO 65233-2839 | 2008-10-31 |
1285838037 | Nancy Marie Aldrich | Dietitian, Registered | 17651 B Hwy, Boonville, MO 65233-2839 | 2007-06-14 |
1306066162 | Cooper County Memorial Hospital | Skilled Nursing Facility | 17651 B Hwy, Boonville, MO 65233-2839 | 2007-04-26 |
1487726121 | Nancy Meyer | Nurse Practitioner | 17651 B Hwy, Boonville, MO 65233-2839 | 2006-11-15 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1750788022 | Aneisa Lynn Sherrill-mattox | Social Worker | 413 E Spring Street, Boonville, MO 65233 | 2014-12-02 |
1427216555 | Boonville Residential LLC | Assisted Living Facility | 600 Rankin Mill Lane, Boonville, MO 65233 | 2008-05-27 |
1851593479 | Cooper County Ambulance District | Ambulance | 17651 B Highway, Boonville, MO 65233 | 2007-06-05 |
1538181409 | Dancing Horizon Health Foundation, Inc. | Family Medicine | 2400 Boonslick Drive, Boonville, MO 65233 | 2006-07-23 |
1588697965 | Dialysis Clinic Inc. | Clinic/Center | 600 Rankin Mill Ln, Boonville, MO 65233 | 2006-07-08 |
1295767275 | Boonville No 1 Inc | Skilled Nursing Facility | 1450 W Ashley Rd, Boonville, MO 65233 | 2006-07-07 |
1710477187 | Ashlyn Elizabeth Sappington | Dental Hygienist | 1115 Main St, Boonville, MO 65233 | 2018-05-11 |
1083825988 | Harold K Hombs | Dentist | 1115 Main, Boonville, MO 65233 | 2007-05-24 |
1154454551 | Pinnacle Regional Hospital,llc | Clinic/Center | 17601 B Hwy, Boonville, MO 65233 | 2007-03-14 |
1750421418 | Robin Bernice Rooney | Marriage & Family Therapist | 301 Main St, Boonville, MO 65233 | 2007-02-08 |
Find all providers in zip 65233 |
Taxonomy Code | 275N00000X |
Grouping | Hospital Units |
Classification | Medicare Defined Swing Bed Unit |
A unit of a hospital that has a Medicare provider agreement and has been granted approval from HCFA to provide post-hospital extended care services and be reimbursed as a swing-bed unit. |
Notes: Source: Code of Federal Regulations #42, Section 482.66. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1073668273 | St. Mary's Warrick Hospital, Inc. | Medicare Defined Swing Bed Unit | 1116 Millis Avenue, Boonville, IN 47601 | 2007-01-25 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1013054212 | Ste Genevieve County Memorial Hospital | Medicare Defined Swing Bed Unit | 800 Sainte Genevieve Dr, Ste Genevieve, MO 63670-1434 | 2007-01-30 |
1104801547 | Barton County Memorial Hospital | Medicare Defined Swing Bed Unit | 29 Nw 1st Ln, Lamar, MO 64759-8105 | 2005-12-08 |
1245220052 | Ray County Memorial Hospital | Medicare Defined Swing Bed Unit | 904 Wollard Blvd, Richmond, MO 64085-2229 | 2005-10-24 |
1083601330 | Western Missouri Medical Center | Medicare Defined Swing Bed Unit | 403 Burkarth Rd, Warrensburg, MO 64093 | 2005-10-03 |
1407469778 | Noble Health Fulton Inc. | Medicare Defined Swing Bed Unit | 10 S Hospital Dr, Fulton, MO 65251-2510 | 2020-08-26 |
1558985911 | Poplar Bluff Regional Medical Center LLC | Medicare Defined Swing Bed Unit | 3100 Oak Grove Rd, Poplar Bluff, MO 63901-1573 | 2020-06-02 |
1568936995 | Mosaic Medical Center - Maryville | Medicare Defined Swing Bed Unit | 2016 S Main St, Maryville, MO 64468-2655 | 2019-01-18 |
1861861726 | Southeast Health Center of Reynolds LLC | Medicare Defined Swing Bed Unit | 100 Highway 21 N, Ellington, MO 63638-9409 | 2015-09-22 |
1023487162 | Southeast Health Center of Ripley County | Medicare Defined Swing Bed Unit | 109 Plum St, Doniphan, MO 63935-1277 | 2015-09-18 |
1093194888 | Southeast Health Center of Ripley County | Medicare Defined Swing Bed Unit | 109 Plum St, Doniphan, MO 63935-1277 | 2015-05-26 |
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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.