SULLIVAN COUNTY MEMORIAL HOSPITAL (NPI# 1619065828) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1619065828 |
| Entity Type | Organization |
| Organization Name | SULLIVAN COUNTY MEMORIAL HOSPITAL |
| Other Organization Name | SULLIVAN COUNTY MEMORIAL HOSPITAL MILAN FAMILY PRACTICE |
| Practice Address |
210 N Market St Milan MO 63556-1316 |
| Mailing Address |
630 W 3rd St Milan MO 63556-1076 |
| Practice Telephone | 6602654456 |
| Mailing Telephone | 6602654212 |
| Mailing Fax Number | 6602654898 |
| Enumeration Date | 2006-10-11 |
| Last Update Date | 2015-11-30 |
| Authorized Official Name | AMY MICHAEL (CHIEF OPERATING OFFICER) |
| Authorized Official Telephone | 6602654212 |
| Is Organization Subpart | Y |
| Parent Organization Name | SULLIVAN COUNTY MEMORIAL HOSPITAL |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QR1300X |
Clinic/Center Specialization: Rural Health |
MO | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MO | 501720809 | 05 | |
| MO | 591720800 | 05 |
| Other Name | Type Code |
|---|---|
| Sullivan County Memorial Hospital Milan Family Practice | Doing Business As Name - Organization |
| 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 |
| 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 |
| 1114067832 | Sullivan County Memorial Hospital | General Acute Care Hospital | 630 W 3rd St, Milan, MO 63556-1076 | 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 |
210 N MARKET ST |
| City | MILAN |
| State | MO |
| Zip Code | 63556-1316 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922293109 | Sherri Lynn Hedges | Nurse Practitioner | 210 N Market St, Milan, MO 63556-1316 | 2007-09-11 |
| 1770666984 | Dale Essmyer | Family Medicine | 210 N Market St, Milan, MO 63556-1316 | 2006-10-23 |
| 1114008281 | Stephanie Alvera Granneman | Nurse Practitioner | 210 N Market St, Milan, MO 63556 | 2006-10-17 |
| 1740378785 | Kenneth Richards | Family Medicine | 210 N Market St, Milan, MO 63556-1316 | 2006-10-11 |
| 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 |
| 1285775858 | Sullivan County Memorial Hospital | Clinic/Center | 630 W 3rd St, Milan, MO 63556 | 2007-02-08 |
| 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 |
| 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 |
| Find all providers in zip 63556 | ||||
| Taxonomy Code | 261QR1300X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Rural Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285775858 | Sullivan County Memorial Hospital | Clinic/Center | 630 W 3rd St, Milan, MO 63556 | 2007-02-08 |
| 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 |
| 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.