PEMISCOT COUNTY MEMORIAL HOSPITAL


Address: 946 E Reed St, Hayti, MO 63851-1243
Phone: 5733593612

PEMISCOT COUNTY MEMORIAL HOSPITAL (NPI# 1861594004) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1861594004
Entity Type Organization
Organization Name PEMISCOT COUNTY MEMORIAL HOSPITAL
Other Organization Name PEMISCOT COUNTY NURSING HOME
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 5733593612
Practice Fax Number 5733593398
Mailing Telephone 5733593612
Mailing Fax Number 5733593398
Enumeration Date 2006-09-01
Last Update Date 2011-11-02
Authorized Official Name KERRY NOBLE (CEO)
Authorized Official Telephone 5733593612
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 313M00000X Nursing Facility/Intermediate Care Facility MO Nursing & Custodial Care Facilities

Other Provider Identifier

State Issuer Identifier Type Code
MO 101493104 05

Other Provider/Organization Names

Other Name Type Code
Pemiscot County Nursing Home Doing Business As Name - Organization

Other Provider IDs and Locations

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

Office Location

Street Address 946 E REED ST
City HAYTI
State MO
Zip Code 63851-1243

Providers in the same location

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

Providers in the same zip code

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
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Taxonomy Information

Taxonomy Code 313M00000X
Grouping Nursing & Custodial Care Facilities
Classification Nursing Facility/Intermediate Care Facility

Taxonomy Definition

An institution (or a distinct part of an institution) which- (1) is primarily engaged in providing to residents- (A) skilled nursing care and related services for residents who require medical or nursing care, (B) rehabilitation services for the rehabilitation of injured, disabled, or sick persons, or, on a regular basis, health-related care and services to individuals who because of their mental or physical condition require care and services (above the level of room and board) which can be made available to them only through institutional facilities, and is not primarily for the care and treatment of mental diseases; (2) has in effect a transfer agreement with one or more hospitals.
Notes: Source: Paraphrased from Section 1919 (a) of the Social Security Act.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1508078254 Pemiscot County Memorial Hospital Nursing Facility/Intermediate Care Facility 946 E Reed Street, Hayti, MO 63851-0489 2007-05-04

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1316488075 Anna's House Residential Care Facility LLC Nursing Facility/Intermediate Care Facility 194 State Highway Mm, Niangua, MO 65713-8411 2017-03-14
1841667565 Univest, LLC Nursing Facility/Intermediate Care Facility 1401 W 3rd St, Sedalia, MO 65301-3603 2015-08-28
1417334137 Holistic Healthcare LLC Nursing Facility/Intermediate Care Facility 4630 Robbins Grove Dr, Florissant, MO 63034-2840 2015-05-01
1295123420 Erin Eggen Nursing Facility/Intermediate Care Facility 1101 Clay Street, Versailles, MO 65084 2014-12-22
1518303296 Leaetta Mildred Gardner Nursing Facility/Intermediate Care Facility 13450 County Road 7040, Rolla, MO 65401 2013-05-21
1376893297 Reliant Care Rehabilitative Services Nursing Facility/Intermediate Care Facility 411 Robert Ave, Ferguson, MO 63135-3526 2012-09-18
1487975363 Neighborhood Outreach Center Nursing Facility/Intermediate Care Facility 5325 Dr Martin Luther King Dr, Saint Louis, MO 63112-4256 2010-06-15
1205168523 Nirmal K Samanta Nursing Facility/Intermediate Care Facility 250 Brandy Ln, Cape Girardeau, MO 63701-8443 2010-02-11
1083882682 Crestwood Health Care Center, L.L.C. Nursing Facility/Intermediate Care Facility 11400 Mehl Avenue, Florissant, MO 63033-7204 2008-02-15
1225228455 St Josephs Hill Infirmary Inc Nursing Facility/Intermediate Care Facility 265 St Joseph Road, Eureka, MO 63025-0550 2007-07-25
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Competitor

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City HAYTI
Zip Code 63851

Improve Information

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Dataset Information

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.

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