PARKLAND HEALTH CENTER (NPI# 1932117173) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1932117173 |
| Entity Type | Organization |
| Organization Name | PARKLAND HEALTH CENTER |
| Other Organization Name | PARKLAND HEALTH CENTER - BONNE TERRE |
| Practice Address |
7245 Raider Rd Bonne Terre MO 63628-3767 |
| Mailing Address |
1101 W Liberty St Farmington MO 63640-1921 |
| Practice Telephone | 5737566451 |
| Practice Fax Number | 5737561408 |
| Mailing Telephone | 5737566451 |
| Mailing Fax Number | 5737561408 |
| Enumeration Date | 2006-08-03 |
| Last Update Date | 2014-08-06 |
| Authorized Official Name | MR. THOMAS P KARL (PRESIDENT) |
| Authorized Official Telephone | 5737608275 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 282NC0060X |
General Acute Care Hospital Specialization: Critical Access |
474-3 | MO | Hospitals |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| COMMUNITY CARE PLUS | 999681 | 01 | |
| MO | 016028300 | 05 | |
| BLUE CROSS-BLUE SHIELD | 119 | 01 | |
| MERCY | 260163 | 01 | |
| UNITED HEALTHCARE | 5020035 | 01 | |
| MERCY MC+ | 260163 | 01 | |
| HEALTH LINK | 182901 | 01 | |
| HEALTHCARE USA | 856X8562 | 01 |
| Other Name | Type Code |
|---|---|
| Parkland Health Center - Bonne Terre | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891303053 | Parkland Health Center | Clinical Medical Laboratory | 1101 W Liberty St, Farmington, MO 63640-1921 | 2020-07-14 |
| 1003824061 | Parkland Health Center | General Acute Care Hospital | 1101 W Liberty St, Farmington, MO 63640-1921 | 2006-08-04 |
| 1902814866 | Parkland Health Center | Psychiatric Unit | 1101 W Liberty St, Senior Support Center, Farmington, MO 63640-1921 | 2006-08-04 |
| 1922016112 | Parkland Health Center | General Practice | 1101 W Liberty St, Farmington, MO 63640-1921 | 2006-08-03 |
| Street Address |
7245 RAIDER RD |
| City | BONNE TERRE |
| State | MO |
| Zip Code | 63628-3767 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215902556 | Phillip A. Brewer | Emergency Medicine | 7245 Raider Rd, Bonne Terre, MO 63628-3767 | 2006-02-21 |
| 1902150444 | Bc Missouri Emergency Physicians LLP | Emergency Medicine | 7245 Raider Rd, Bonne Terre, MO 63628-3767 | 2012-11-06 |
| 1356368815 | Michael Gaertner | Emergency Medicine | 7245 Raider Rd, Bonne Terre, MO 63628-3767 | 2006-07-17 |
| 1225055783 | Peter Gardiner | Emergency Medicine | 7245 Raider Rd, Bonne Terre, MO 63628-3767 | 2006-07-17 |
| 1164449708 | Ralph Leigh | Emergency Medicine | 7245 Raider Rd, Bonne Terre, MO 63628-3767 | 2006-07-17 |
| 1730106287 | Michael Clippard | Emergency Medicine | 7245 Raider Rd, Bonne Terre, MO 63628-3767 | 2006-07-17 |
| 1982620852 | Robert Cralle | Emergency Medicine | 7245 Raider Rd, Bonne Terre, MO 63628-3767 | 2006-07-14 |
| 1679599518 | Gerardo Gutierrez | Emergency Medicine | 7245 Raider Rd, Bonne Terre, MO 63628-3767 | 2006-07-14 |
| 1952326621 | Bc Missouri Emergency Physicians, LLP | Physician Assistant | 7245 Raider Rd, Bonne Terre, MO 63628-3767 | 2006-07-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437675477 | Kybama, Inc | Residential Treatment Facility, Emotionally Disturbed Children | 12729 Stoney Point Rd, Bonne Terre, MO 63628 | 2017-08-22 |
| 1295092500 | Jak Properties Inc | In Home Supportive Care | 522 Benham St, Suite B, Bonne Terre, MO 63628 | 2012-04-12 |
| 1013121599 | Joseph Richard Engel | Dentist | 20 W Johnson St, Bonne Terre, MO 63628 | 2007-05-10 |
| 1215093844 | Debra Long Morgan | Dentist | 20 West Johnson Street, Bonne Terre, MO 63628 | 2006-12-28 |
| 1497811459 | Robert Oliver Greenwald | Dentist | #20 W Johnson, Bonne Terre, MO 63628 | 2006-12-27 |
| 1255964508 | American Nursing & Rehab LLC | Assisted Living Facility | 10 Lake Drive, Bonne Terre, MO 63628 | 2020-02-14 |
| 1962679746 | Robert O Greenwald Dds PC | Dentist | #20 W Johnson, Bonne Terre, MO 63628 | 2008-05-12 |
| 1427045004 | Pairat Vibulakaopun | Internal Medicine | 527 Benham St, Bonne Terre, MO 63628-1205 | 2005-09-29 |
| 1124014030 | Kenny Ratana | Radiology | 527 Benham St # B, Bonne Terre, MO 63628-1205 | 2005-09-26 |
| 1669017315 | Patricia Ann Peterson | Nurse Practitioner | 527 Benham St, Bonne Terre, MO 63628-1205 | 2019-11-15 |
| Find all providers in zip 63628 | ||||
| Taxonomy Code | 282NC0060X |
| Grouping | Hospitals |
| Classification | General Acute Care Hospital |
| Specialization | Critical Access |
| Definition to come. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356689905 | Southeast Health Center of Reynolds County LLC | General Acute Care Hospital | 100 Hwy 21, Ellington, MO 63638-7943 | 2013-01-16 |
| 1467789222 | Va Medical Center In St.louis | General Acute Care Hospital | 9830 Eastdell Dr, Saint Louis, MO 63136-1915 | 2009-11-14 |
| 1750512042 | Vicky Laurine Simbro | General Acute Care Hospital | 4505 Cove Rd, Osage Beach, MO 65065-2307 | 2009-08-04 |
| 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 |
| Find all providers with the same taxonomy | ||||
| City | BONNE TERRE |
| Zip Code | 63628 |
Please comment or provide details below to improve the information on PARKLAND HEALTH CENTER.
| 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.