NPIMap

Organization Active NPI

St John's Hospital Lebanon

  • Rural Acute Care Hospital
  • Lebanon, MO
National Provider Identifier
1104032721
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rural Acute Care HospitalTaxonomy code 282NR1301X
License
2001030555 Issued in MO
Legal business name
ST JOHN'S HOSPITAL LEBANON
Practice address
331 Hospital Dr
Lebanon, MO 65536-9217
Phone
(417) 533-6315
NPI assigned
May 14, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Terri Foster, PT
Title
Director of Rehab Services
Phone
(417) 533-6315

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Rural Acute Care Hospital 282NR1301X 2001030555 MO Primary

Addresses

Primary practice location

331 Hospital Dr
Lebanon, MO 65536-9217

Mailing address

2444 Copperwood Dr
Lebanon, MO 65536-5964
Phone (471) 594-0217

National Provider Directory

National Provider Directory
Tax ID family
Breech Medical Anesthes11 organizations share this tax ID, including this one

Other organizations with this tax ID 10

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": "1179100800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1104032721",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2444 COPPERWOOD DR",
            "city": "LEBANON",
            "state": "MO",
            "postal_code": "655365964",
            "telephone_number": "471-594-0217"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "331 HOSPITAL DR",
            "city": "LEBANON",
            "state": "MO",
            "postal_code": "655369217",
            "telephone_number": "417-533-6315"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ST JOHN'S HOSPITAL LEBANON",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-14",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "FOSTER",
        "authorized_official_first_name": "TERRI",
        "authorized_official_title_or_position": "DIRECTOR OF REHAB SERVICES",
        "authorized_official_telephone_number": "417-533-6315",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "282NR1301X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital, Rural",
            "state": "MO",
            "license": "2001030555",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lebanon, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.