SULLIVAN COUNTY MEMORIAL HOSPITAL (NPI# 1770624967) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1770624967 |
| Entity Type | Organization |
| Organization Name | SULLIVAN COUNTY MEMORIAL HOSPITAL |
| Practice Address |
106 North Main Newtown MO 64667-1000 |
| Mailing Address |
630 W 3rd St Milan MO 63556-1076 |
| Practice Telephone | 6607945100 |
| Practice Fax Number | 6602653406 |
| Mailing Telephone | 6602654212 |
| Mailing Fax Number | 6602654898 |
| Enumeration Date | 2007-02-09 |
| Last Update Date | 2013-09-17 |
| Authorized Official Name | AMY MICHAEL (CHIEF OPERATING OFFICER) |
| Authorized Official Telephone | 6602654212 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QR1300X |
Clinic/Center Specialization: Rural Health |
130-55 | MO | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MO | 540324803 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518008218 | Sullivan County Memorial Hospital | Clinic/Center | 18 W 3rd St, Green City, MO 63545-1361 | 2007-02-08 |
| 1619065828 | Sullivan County Memorial Hospital | Clinic/Center | 210 N Market St, Milan, MO 63556-1316 | 2006-10-11 |
| 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 |
106 NORTH MAIN |
| City | NEWTOWN |
| State | MO |
| Zip Code | 64667-1000 |
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| 1952916736 | Patrick J Rush | Podiatrist | 24 Woodstock Drive, Newtown, PA 18940 | 2020-09-09 |
| 1982218129 | Chinese Medicine Center | Acupuncturist | 4 Terry Dr Ste 18, Newtown, PA 18940-1838 | 2020-09-04 |
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| Find all providers in NEWTOWN | ||||
| Taxonomy Code | 261QR1300X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Rural Health |
| Definition to come... |
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|---|---|---|---|---|
| 1871102137 | Washington County Memorial Hospital | Clinic/Center | 14206 Hwy C, Belgrade, MO 63622 | 2020-07-23 |
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| 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.