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KIRKSVILLE MISSOURI HOSPITAL COMPANY LLC NPI 1932172293


NPI Information

NPI: 1932172293
Provider Name: KIRKSVILLE MISSOURI HOSPITAL COMPANY, LLC

Doing Business As: NORTHEAST REGIONAL MEDICAL CENTER

Classification: Medicare Defined Swing Bed Unit - 275N00000X
Entity Type: Organization
Address:
315 S OSTEOPATHY
KIRKSVILLE, MO
ZIP 63501
Phone: (660) 785-1000
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KIRKSVILLE MISSOURI HOSPITAL COMPANY, LLC is a medicare defined swing bed unit in Kirksville, MO. The provider is a unit of a hospital that has a Medicare provider agreement and has been granted approval from HCFA to provide post-hospital extended care services and be reimbursed as a swing-bed unit. KIRKSVILLE MISSOURI HOSPITAL COMPANY, LLC NPI is 1932172293. The provider is registered as an organization entity type.
The provider Is Doing Business As Northeast Regional Medical Center.

The provider's business location address is:

315 S OSTEOPATHY
KIRKSVILLE, MO
ZIP 63501-401
Phone: (660) 785-1000

The provider's authorized official is Paula M Lalor .
The authorized official title is Director/delegated Official and has the following contact phone number (629) 215-3953.

The enumeration date for this NPI number is 2/8/2006 and was last updated on 4/8/2021.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1275N00000XMedicare Defined Swing Bed Unit462-4MISSOURIYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
110104OTHERBCBS
2010601201MEDICAIDMISSOURI

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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