PEMISCOT COUNTY MEMORIAL HOSPITAL (NPI# 1992819742) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1992819742 |
| Entity Type | Organization |
| Organization Name | PEMISCOT COUNTY MEMORIAL HOSPITAL |
| Practice Address |
946 E Reed St Hayti MO 63851-1243 |
| Mailing Address |
Po Box 489 Hayti MO 63851-0489 |
| Practice Telephone | 5733593623 |
| Practice Fax Number | 5733593409 |
| Mailing Telephone | 5733593623 |
| Mailing Fax Number | 5733593409 |
| Enumeration Date | 2006-08-18 |
| Last Update Date | 2011-10-24 |
| Authorized Official Name | KERRY NOBLE (C.E.O.) |
| Authorized Official Telephone | 5733593612 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 341600000X | Ambulance | MO | Transportation Services |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MO | 800988503 | 05 |
| 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 |
| Street Address |
946 E REED ST |
| City | HAYTI |
| State | MO |
| Zip Code | 63851-1243 |
| 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 |
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| 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 |
| Find all providers in zip 63851 | ||||
| Taxonomy Code | 341600000X |
| Grouping | Transportation Services |
| Classification | Ambulance |
| An emergency vehicle used for transporting patients to a health care facility after injury or illness. Types of ambulances used in the United States include ground (surface) ambulance, rotor-wing (helicopter), and fixed-wing aircraft (airplane). |
| Notes: Source: Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 37. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033748397 | Guardian Advantage LLC | Ambulance | 2089 Exchange Dr, Saint Charles, MO 63303-5988 | 2020-04-07 |
| 1316591035 | John Knox Village | Ambulance | 400 Nw Murray Rd, Lees Summit, MO 64081-1498 | 2019-07-31 |
| 1346637105 | Aps Ambulance, LLC | Ambulance | 2950 Nw Platte Rd, Riverside, MO 64150-9636 | 2015-04-20 |
| 1376982801 | Gateway Emergency Medical Transportation LLC | Ambulance | 8050 Watson Rd Ste 140, Saint Louis, MO 63119-5337 | 2013-06-18 |
| 1154617579 | Oregon County Ambulance District | Ambulance | 722 West Walnut St, Thayer, MO 65791-1277 | 2011-06-23 |
| 1396051207 | City of Olivette | Ambulance | 9473 Olive Blvd, Olivette, MO 63132-3131 | 2010-08-30 |
| 1467770438 | City of Frontenac | Ambulance | 10555 Clayton Rd, Frontenac, MO 63131-2915 | 2010-05-14 |
| 1205154002 | Agile Specialty Transportation, LLC | Ambulance | 320 Brookes Dr Ste 212, Hazelwood, MO 63042-2740 | 2010-05-04 |
| 1013199231 | Gateway Ambulance Service LLC | Ambulance | 1530 Fairview Ave, Saint Louis, MO 63132-1302 | 2007-11-29 |
| 1194929240 | East Carter County Volunteer Ambulance | Ambulance | Rt. 2 Box 2004, South Side Hwy. A At West City Limits, Ellsinore, MO 63937-0160 | 2007-06-13 |
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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.