MCCUNE-BROOKS HOSPITAL (NPI# 1790860575) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1790860575 |
| Entity Type | Organization |
| Organization Name | MCCUNE-BROOKS HOSPITAL |
| Other Organization Name | MCCUNE-BROOKS REGIONAL HOSPITAL |
| Practice Address |
3125 Dr Russell Smith Way Carthage MO 64836-7402 |
| Practice Telephone | 4173588121 |
| Practice Fax Number | 4172377240 |
| Mailing Telephone | 4173588121 |
| Mailing Fax Number | 4172377240 |
| Enumeration Date | 2006-10-27 |
| Last Update Date | 2008-06-06 |
| Authorized Official Name | MR. ROBERT Y COPELAND JR. (CEO) |
| Authorized Official Telephone | 4173598121 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 282NC0060X |
General Acute Care Hospital Specialization: Critical Access |
23-48 | MO | Hospitals |
| Other Name | Type Code |
|---|---|
| McCune-Brooks Regional Hospital | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104999762 | Mccune-brooks Hospital | Clinic/Center | 3125 Dr Russell Smith Way, Carthage, MO 64836-7402 | 2006-11-15 |
| 1033294889 | Mccune-brooks Hospital | Psychiatric Unit | 3125 Dr Russell Smith Way, Carthage, MO 64836-7402 | 2006-10-26 |
| 1376643304 | Mccune-brooks Hospital | Ambulance | 3125 Dr Russell Smith Way, Carthage, MO 64836-7402 | 2006-09-22 |
| Street Address |
3125 DR RUSSELL SMITH WAY |
| City | CARTHAGE |
| State | MO |
| Zip Code | 64836-7402 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982680666 | Aaron M. Petersen | Nurse Anesthetist, Certified Registered | 3125 Dr Russell Smith Way, Anesthesia Dept, Carthage, MO 64836-7402 | 2005-12-15 |
| 1417570821 | Meghan Metzger | Nurse Practitioner | 3125 Dr Russell Smith Way, Carthage, MO 64836-7402 | 2020-05-20 |
| 1356825384 | Jill A Parmley | Nurse Practitioner | 3125 Dr Russell Smith Way, Carthage, MO 64836-7402 | 2018-09-15 |
| 1003300286 | Mercy Carthage Anesthesia | Anesthesiology | 3125 Dr Russell Smith Way, Carthage, MO 64836-7402 | 2018-06-20 |
| 1225587504 | Northstar Anesthesia of Kentucky II, Pllc | Nurse Anesthetist, Certified Registered | 3125 Dr Russell Smith Way, Carthage, MO 64836-7402 | 2016-09-27 |
| 1710341250 | Ashley Diane Cobb | Dietitian, Registered | 3125 Dr Russell Smith Way, Carthage, MO 64836-7402 | 2016-04-11 |
| 1003201955 | Mercy Hospital Carthage | Psychiatry & Neurology | 3125 Dr Russell Smith Way, Carthage, MO 64836 | 2015-03-30 |
| 1912392861 | Mercy Hospital Carthage | Medicare Defined Swing Bed Unit | 3125 Dr Russell Smith Way, Carthage, MO 64836 | 2015-03-30 |
| 1992196778 | Annette Noel Mense | Physician Assistant | 3125 Dr Russell Smith Way, Carthage, MO 64836-7402 | 2015-02-14 |
| 1982018727 | Jared Wade Nichols | Neuromusculoskeletal Medicine & OMM | 3125 Dr Russell Smith Way, Carthage, MO 64836-7402 | 2014-06-19 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043871908 | Cura Personalis, (care for The Whole Person), LLC | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 11650 Bobwhite Road, Carthage, MO 64836 | 2019-06-21 |
| 1477098531 | Grace Theios, LLC | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 6031 County Road 105, Carthage, MO 64836 | 2016-12-28 |
| 1386095255 | Ozark Tri County Healthcare Consortium | Dentist | 215 E 3rd Street, Carthage, MO 64836 | 2016-06-22 |
| 1861668972 | Allison D. O'dell | Social Worker | 2411 Fairlawn Drive, Carthage, MO 64836 | 2008-05-08 |
| 1619142064 | Earl L Kirn | Social Worker | 2411 Fairlawn Ave, Carthage, MO 64836 | 2008-04-28 |
| 1235283912 | Mark F Saladin | Dentist | 1604 Missouri Avenue, Carthage, MO 64836 | 2007-01-22 |
| 1962570465 | Carthage Counseling LLC | Community/Behavioral Health | 2411 Fairlawn Dr, Carthage, MO 64836 | 2006-12-01 |
| 1023191665 | Wal-mart Stores East, Lp | Technician/Technologist | 2705 Grand Ave., Carthage, MO 64836 | 2006-10-24 |
| 1356437180 | Jannette Eldred | Social Worker | 1500 South Case Steet, Carthage, MO 64836 | 2006-10-05 |
| 1144251646 | Peter Richardson | Family Medicine | 719 W Centennial, Carthage, MO 64836 | 2006-07-05 |
| Find all providers in zip 64836 | ||||
| Taxonomy Code | 282NC0060X |
| Grouping | Hospitals |
| Classification | General Acute Care Hospital |
| Specialization | Critical Access |
| Definition to come. |
| Notes: [7/1/2003: new] |
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|---|---|---|---|---|
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| 1073858262 | Memorial Hospital Association | General Acute Care Hospital | 1454 N County Road 2050, Carthage, IL 62321-3551 | 2012-11-29 |
| 1396012753 | Mercy Hospital Carthage | General Acute Care Hospital | 3125 Dr Russell Smith Way, Carthage, MO 64836-7402 | 2011-11-29 |
| 1205112539 | Baptist Medical Center-leake Inc | General Acute Care Hospital | 1100 Hwy 16 East, Carthage, MS 39051 | 2011-11-01 |
| 1104137215 | Riverview Medical Center LLC | General Acute Care Hospital | 158 Hospital Dr, Carthage, TN 37030-1083 | 2010-06-24 |
| 1932355625 | Memorial Hospital Association | General Acute Care Hospital | 402 S Adams St, Carthage, IL 62321-1600 | 2008-08-13 |
| 1629082466 | Frank T Rutherford Memorial Hospital, Inc | General Acute Care Hospital | 130 Lebanon Hwy, Carthage, TN 37030-2955 | 2006-07-28 |
| 1801814629 | Frank T Rutherford Memorial Hospital, Inc | General Acute Care Hospital | 130 Lebanon Hwy, Carthage, TN 37030-2955 | 2006-07-18 |
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| 1710177480 | Wisam Hassan Ali Al Badr | General Acute Care Hospital | 3635 Grand Blvd, Saint Louis, MO 63110-2539 | 2007-07-30 |
| 1619179561 | Saint Louis University Medical Center | General Acute Care Hospital | 1402 S Grand Blvd # M238, Saint Louis, MO 63104-1004 | 2007-06-04 |
| 1962578609 | Hermann Area Hospital District | General Acute Care Hospital | 509 West 18th St, Hermann, MO 65041 | 2006-11-27 |
| 1477648178 | Iron County Hospital District | General Acute Care Hospital | 301 N Highway 21, Pilot Knob, MO 63663-0548 | 2006-10-04 |
| 1023053477 | Mercy St. Francis Hospital | General Acute Care Hospital | 100 West Highway 60, Mountain View, MO 65548 | 2006-06-19 |
| 1912948308 | Saint Lukes Hospital of Chillicothe | General Acute Care Hospital | 2799 N Washington, Chillicothe, MO 64601-2902 | 2006-06-09 |
| 1720039605 | Cedar County Memorial Hospital | General Acute Care Hospital | 1401 S Park St, El Dorado Springs, MO 64744-2037 | 2006-05-15 |
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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.