Sullivan County Memorial Hospital

A Medicare group practice based in Milan, MO: 7 NPIs enrolled under one PECOS associate control ID (PAC ID 7810973252), with 21 clinicians.

Medicare enrollment

Medicare enrollment files
PAC ID
7810973252The PECOS associate control ID: one enrolled organization, which may hold several NPIs
Provider type
Part A Provider - Critical Access Hospital, Part A Provider - Rural Health Clinic, Part B Supplier - Clinic/Group Practice
Enrolled in
MO
Enrollments
6
Group size
17 cliniciansAs Care Compare reports it
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Practice locations
8In 2 places

Enrollment records 6

Enrollment IDStateProvider typeNPI
O20040626000444 MO Part B Supplier - Clinic/Group Practice 1063553642
O20151019000623 MO Part A Provider - Rural Health Clinic 1619065828
O20130725000204 MO Part A Provider - Rural Health Clinic 1518008218
O20091012000272 MO Part A Provider - Rural Health Clinic 1285775858
O20091012000300 MO Part A Provider - Critical Access Hospital 1114067832
O20091012000306 MO Part A Provider - Critical Access Hospital 1275674699

NPIs in this group 7

NPPES NPI Registry

These NPI records belong to the same enrolled organization. Each has its own page.

Practice locations

Locations on the Medicare enrollment

Clinicians 21

Clinicians who reassign their Medicare benefits to this group (20) or whom Care Compare lists as members (17).

Sources for this page