PEMISCOT COUNTY MEMORIAL HOSPITAL (NPI# 1568574341) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1568574341 |
| Entity Type | Organization |
| Organization Name | PEMISCOT COUNTY MEMORIAL HOSPITAL |
| Other Organization Name | PMHS CONVENIENT CARE CLINIC |
| Practice Address |
946 E Reed St Hayti MO 63851-1243 |
| Mailing Address |
946 E Reed St P O Box 489 Hayti MO 63851-1243 |
| Practice Telephone | 5733596162 |
| Practice Fax Number | 5733596165 |
| Mailing Telephone | 5733596162 |
| Mailing Fax Number | 5733596165 |
| Enumeration Date | 2006-08-31 |
| Last Update Date | 2015-03-10 |
| Authorized Official Name | KERRY NOBLE (C.E.O.) |
| Authorized Official Telephone | 5733593612 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QR1300X |
Clinic/Center Specialization: Rural Health |
Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MO | 599256005 | 05 |
| Other Name | Type Code |
|---|---|
| PMHS Convenient Care Clinic | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558514901 | Pemiscot County Memorial Hospital | Clinic/Center | 213 S Walnut St, Steele, MO 63877-1714 | 2008-10-29 |
| 1386807675 | Pemiscot County Memorial Hospital | Family Medicine | 946 East Reed St, Hayti, MO 63851 | 2008-07-07 |
| 1932372646 | Pemiscot County Memorial Hospital | Clinic/Center | 555 Virginia Ave, New Madrid, MO 63869 | 2008-04-03 |
| 1508078254 | Pemiscot County Memorial Hospital | Nursing Facility/Intermediate Care Facility | 946 E Reed Street, Hayti, MO 63851-0489 | 2007-05-04 |
| 1437251634 | Pemiscot County Memorial Hospital | Clinic/Center | 106 West 12th St, Caruthersville, MO 63830 | 2006-09-01 |
| 1669493144 | Pemiscot County Memorial Hospital | Nursing Facility/Intermediate Care Facility | 500 Truman Blvd, Caruthersville, MO 63830-1261 | 2006-07-21 |
| 1831689058 | Pemiscot County Memorial Hospital | Clinic/Center | 216 W Main St, Steele, MO 63877 | 2018-05-14 |
| 1124518451 | Pemiscot County Memorial Hospital | Clinic/Center | 100 S Main Street, Gideon, MO 63848 | 2018-05-11 |
| 1477091890 | Pemiscot County Memorial Hospital | Family Medicine | 105 E Washington St, Kennett, MO 63857-2041 | 2017-02-06 |
| 1841463551 | Pemiscot County Memorial Hospital | Clinic/Center | 1502 Ward Ave, Caruthersville, MO 63830-2571 | 2008-04-03 |
| Street Address |
946 E REED ST |
| City | HAYTI |
| State | MO |
| Zip Code | 63851-1243 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013987510 | Lara Huffman | Psychiatry & Neurology | 946 E Reed St, Hayti, MO 63851-1243 | 2006-01-25 |
| 1144887001 | Faaiza Arshad | Physician Assistant | 946 E Reed St, Hayti, MO 63851-1243 | 2019-05-24 |
| 1114379153 | Pemiscot Memorial Health System | General Acute Care Hospital | 946 E Reed St, Hayti, MO 63851-1243 | 2016-07-01 |
| 1386095339 | Linda Tai | Physician Assistant | 946 E Reed St, Hayti, MO 63851-1243 | 2016-06-30 |
| 1497069199 | Pafford Emergency Medical Services of Missouri, Inc. | Ambulance | 946 E Reed St, Hayti, MO 63851-1243 | 2010-08-05 |
| 1710159314 | Pemiscot County Memorial Hospital | Psychiatric Unit | 946 E Reed St, Hayti, MO 63851-1243 | 2008-03-24 |
| 1265602544 | David Ketchum II | Pharmacist | 946 E Reed St, Hayti, MO 63851-1243 | 2008-03-03 |
| 1033393335 | Hazel Radiology, LLC | Radiology | 946 E Reed St, Radiology Department, Hayti, MO 63851-1243 | 2007-12-21 |
| 1578668661 | Pemiscot County Memorial Hospital | Clinic/Center | 946 E Reed St, Hayti, MO 63851-1243 | 2006-09-13 |
| 1437251881 | Pemiscot County Memorial Hospital | General Acute Care Hospital | 946 E Reed St, Hayti, MO 63851-1243 | 2006-09-05 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619518032 | Mcpherson Medical & Diagnostic, LLC | Clinic/Center | 110 Us Hwy 61 N, Ste B, Hayti, MO 63851 | 2019-10-07 |
| 1225525744 | Roosevelt Dismukes Jr. | Behavior Technician | 500 Highway 61 N J, Hayti, MO 63851 | 2018-04-19 |
| 1417461625 | Rivian Ricole Hill | Recreation Therapist | 501 Highway 61 J N, Hayti, MO 63851 | 2017-11-27 |
| 1750761169 | Lindsey Moody | Case Manager/Care Coordinator | 909 East Reed Street, Hayti, MO 63851 | 2015-06-02 |
| 1710375811 | Jeremy Winstead | Technician, Other | 500 Highway J North, Hayti, MO 63851 | 2014-12-26 |
| 1164810206 | Teresa Ward | Registered Nurse | 589 Hwy J, Hayti, MO 63851 | 2014-12-23 |
| 1780081463 | Heather Brown | Case Manager/Care Coordinator | 581 Hwy J, Hayti, MO 63851 | 2014-11-25 |
| 1184029241 | Cheryl Byrd | Case Manager/Care Coordinator | 581 Highway J, Hayti, MO 63851 | 2014-10-30 |
| 1114320827 | Toshia Russell | Licensed Practical Nurse | 579 North Highway J, Hayti, MO 63851 | 2014-10-08 |
| 1992104301 | Lora Hawes | Case Manager/Care Coordinator | 581 Hwy J North, Hayti, MO 63851 | 2014-08-21 |
| Find all providers in zip 63851 | ||||
| Taxonomy Code | 261QR1300X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Rural Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154303204 | Hayti Medical Clinic, Inc | Clinic/Center | 223 S 3rd St, Hayti, MO 63851-1617 | 2005-11-15 |
| 1285952044 | Dyersburg Clinic Corp | Clinic/Center | 310 E Main St, Hayti, MO 63851-1639 | 2010-05-04 |
| 1497929335 | Caruthersville Clinic | Clinic/Center | 310 E Main St, Hayti, MO 63851-1639 | 2008-04-22 |
| 1518065291 | Pemiscot County Memorial Hospital | Clinic/Center | 907 E Reed St, Hayti, MO 63851-1242 | 2006-09-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871102137 | Washington County Memorial Hospital | Clinic/Center | 14206 Hwy C, Belgrade, MO 63622 | 2020-07-23 |
| 1891325072 | Scotland County Memorial Hospital | Clinic/Center | 55682 State Highway 6 Ste A, Edina, MO 63537-4268 | 2020-01-16 |
| 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 |
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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.