Organization Active NPI

Farmington Missouri Hospital Company, LLC

Doing business as Mineral Area Regional Medical Center

  • Medicare Defined Swing Bed Hospital Unit
  • Farmington, MO
National Provider Identifier
1063460947
Registry record updated Apr 20, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medicare Defined Swing Bed Hospital UnitTaxonomy code 275N00000X
License
184-46 Issued in MO
Legal business name
FARMINGTON MISSOURI HOSPITAL COMPANY, LLC
Doing business as
Mineral Area Regional Medical Center
Practice address
1212 Weber Rd
Farmington, MO 63640-3325
Phone
(573) 756-4581
Fax
(573) 756-5834
NPI assigned
May 4, 2006
Last updated
Apr 20, 2011By the provider in NPPES
Organization subpart
Yes
Parent organization
FARMINGTON MISSOURI HOSPITAL COMPANY, LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Apr 20, 2011

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
S Ray Coffey
Title
VP, Reimbursement
Phone
(615) 764-3009

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medicare Defined Swing Bed Hospital Unit 275N00000X 184-46 MO Primary

Addresses

Primary practice location

1212 Weber Rd
Farmington, MO 63640-3325

Mailing address

1212 Weber Rd
Farmington, MO 63640-3325
Phone (573) 756-4581

Other names 1

  • Mineral Area Regional Medical Center Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Farmington Missouri Hospital Company LLC5 organizations share this tax ID, including this one
Part of
Farmington Missouri Hospital Company LLC

Other organizations with this tax ID 4

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1146700800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1303257600000",
    "number": "1063460947",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1212 WEBER RD",
            "city": "FARMINGTON",
            "state": "MO",
            "postal_code": "636403325",
            "telephone_number": "573-756-4581",
            "fax_number": "573-756-5834"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1212 WEBER RD",
            "city": "FARMINGTON",
            "state": "MO",
            "postal_code": "636403325",
            "telephone_number": "573-756-4581",
            "fax_number": "573-756-5834"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FARMINGTON MISSOURI HOSPITAL COMPANY, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "FARMINGTON MISSOURI HOSPITAL COMPANY, LLC",
        "enumeration_date": "2006-05-04",
        "last_updated": "2011-04-20",
        "status": "A",
        "authorized_official_last_name": "COFFEY",
        "authorized_official_first_name": "S",
        "authorized_official_middle_name": "RAY",
        "authorized_official_title_or_position": "VP, REIMBURSEMENT",
        "authorized_official_telephone_number": "615-764-3009"
    },
    "taxonomies": [
        {
            "code": "275N00000X",
            "taxonomy_group": "",
            "desc": "Medicare Defined Swing Bed Unit",
            "state": "MO",
            "license": "184-46",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Mineral Area Regional Medical Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Farmington, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.