CARROLL COUNTY MEMORIAL HOSPITAL (NPI# 1972731529) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1972731529 |
| Entity Type | Organization |
| Organization Name | CARROLL COUNTY MEMORIAL HOSPITAL |
| Other Organization Name | REID MEDICAL CLINIC |
| Practice Address |
1401 N Jefferson St Carrollton MO 64633-1945 |
| Practice Telephone | 6605423900 |
| Practice Fax Number | 6605423902 |
| Mailing Telephone | 6605423900 |
| Mailing Fax Number | 6605423902 |
| Enumeration Date | 2009-06-22 |
| Last Update Date | 2013-03-06 |
| Authorized Official Name | JEFFREY TINDLE (CEO) |
| Authorized Official Telephone | 6605421695 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207Q00000X | Family Medicine | Allopathic & Osteopathic Physicians | ||
| Y | 261QR1300X |
Clinic/Center Specialization: Rural Health |
Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| Reid Medical Clinic | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205831013 | Carroll County Memorial Hospital | Home Health | 1502 N Jefferson St, Carrollton, MO 64633-1948 | 2005-06-17 |
| 1114135050 | Carroll County Memorial Hospital | Internal Medicine | 1502 N Jefferson St, Suite A B, Carrollton, MO 64633-1948 | 2007-05-21 |
| 1528067113 | Carroll County Memorial Hospital | Medicare Defined Swing Bed Unit | 1502 N Jefferson St, Carrollton, MO 64633-1948 | 2005-07-18 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | CARROLL COUNTY MEMORIAL HOSPITAL | 309 Eleventh Street, Carrollton, KY 41008-1435 |
| Street Address |
1401 N JEFFERSON ST |
| City | CARROLLTON |
| State | MO |
| Zip Code | 64633-1945 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295140572 | B-pharm, Inc | Pharmacy | 1003 Highway 65 North, Suite B, Carrollton, MO 64633 | 2014-06-25 |
| 1023252541 | Pamela Lynn Ralls | Family Medicine | 1502 N.jefferson Street, Ccmh Medical Plaza, Carrollton, MO 64633 | 2009-04-28 |
| 1578733648 | Sloan Eyecare Center L.l.c | Optometrist | 1405 N Jefferson, Carroll County Jefferson Medical Pavillion, Carrollton, MO 64633 | 2008-03-05 |
| 1679616742 | Arlene Capistrano Germann | Residential Treatment Facility, Emotionally Disturbed Children | 1102 Lakeview Ct, Carrollton, MO 64633 | 2007-02-15 |
| 1932110483 | Tori D Waggoner | Pharmacist | 1003 Hwy 65 North, Carrollton, MO 64633 | 2006-08-10 |
| 1376553511 | Gay Lynn Korff | Pharmacist | 1003 Hwy. 65, Carrollton, MO 64633 | 2006-08-09 |
| 1790730182 | Missouri Cvs Pharmacy, L.L.C. | Durable Medical Equipment & Medical Supplies | 1003 N Us Highway 65, Carrollton, MO 64633 | 2006-05-23 |
| 1700253812 | Jonna Hickcox Rechterman | Nurse Practitioner | 1502 N Jefferson St, Carrollton, MO 64633 | 2015-08-24 |
| 1790097764 | Jodi Dawn Ahnefeld | Pharmacist | 1003 Hwy 65 North, Carrollton, MO 64633 | 2010-07-07 |
| 1770618274 | James Mitchell Germann | Day Training/Habilitation Specialist | 1102 Lakeview Ct, Carrollton, MO 64633 | 2007-02-23 |
| Find all providers in zip 64633 | ||||
| Taxonomy Code | 261QR1300X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Rural Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982205753 | Pickens County Primary Care PC | Clinic/Center | 99 Commerce Avenue, Carrollton, AL 35447 | 2020-11-06 |
| 1255970513 | Orrville Hospital Foundation | Clinic/Center | 1020 Trump Rd Nw Ste 2/4, Carrollton, OH 44615-8422 | 2020-01-03 |
| 1205309044 | Boa Vida Hospital of Aberdeen, Ms LLC | Clinic/Center | 184 William E Hill Drive Ste C, Carrollton, AL 35447 | 2019-01-04 |
| 1689079642 | Jersey Community Hospital | Clinic/Center | 523 S Main St, Carrollton, IL 62016-1256 | 2014-11-03 |
| 1891102323 | Pickens County Medical Center, Inc | Clinic/Center | 289 William E Hill Dr Ste C, Carrollton, AL 35447-3247 | 2014-07-16 |
| 1619276367 | Jefferson Medical Group | Clinic/Center | 1502 N Jefferson St, Carrollton, MO 64633-1948 | 2011-03-21 |
| 1982891057 | Ccmh Corporation | Clinic/Center | 309 11th St, Carrollton, KY 41008-1435 | 2007-10-02 |
| 1275694168 | Carroll County Medical Advisors Lp | Clinic/Center | 309 11th Street, Carrollton, KY 41008 | 2006-12-13 |
| 1164507604 | Thomas H. Boyd Memorial Hospital | Clinic/Center | 800 School St, Carrollton, IL 62016-1436 | 2006-10-25 |
| 1215030713 | Jefferson Medical Group | Clinic/Center | 1502 N Jefferson St, Carrollton, MO 64633-1948 | 2006-09-07 |
| Find all providers in CARROLLTON | ||||
| City | CARROLLTON |
| Zip Code | 64633 |
Please comment or provide details below to improve the information on CARROLL COUNTY MEMORIAL HOSPITAL.
| 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.