Organization Active NPI

Pemiscot Memorial Health System

  • Rural Acute Care Hospital
  • Hayti, MO
National Provider Identifier
1114379153
Registry record updated Jul 1, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rural Acute Care HospitalTaxonomy code 282NR1301X
License
2016016697 Issued in MO
Legal business name
PEMISCOT MEMORIAL HEALTH SYSTEM
Practice address
946 E Reed St
Hayti, MO 63851-1243
Phone
(573) 359-1372
NPI assigned
Jul 1, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 1, 2016

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

Authorized official

Name
Linda Tai, PA-C
Title
Physician Assistant
Phone
(573) 359-1372

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Rural Acute Care Hospital 282NR1301X 2016016697 MO Primary

Addresses

Primary practice location

946 E Reed St
Hayti, MO 63851-1243

Mailing address

946 E Reed St
Hayti, MO 63851-1243
Phone (573) 359-1372

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
26D0442259Pemiscot Memorial Health Systems946 E Reed St, Hayti, MO 63851ComplianceApr 5, 2027
26D2193245Pemiscot Memorial Health Systems946 East Reed Street, Hayti, MO 63851Certificate of waiverSep 17, 2026

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1467331200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1467331200000",
    "number": "1114379153",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "946 E REED ST",
            "city": "HAYTI",
            "state": "MO",
            "postal_code": "638511243",
            "telephone_number": "573-359-1372"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "946 E REED ST",
            "city": "HAYTI",
            "state": "MO",
            "postal_code": "638511243",
            "telephone_number": "573-359-1372"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PEMISCOT MEMORIAL HEALTH SYSTEM",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-07-01",
        "last_updated": "2016-07-01",
        "status": "A",
        "authorized_official_last_name": "TAI",
        "authorized_official_first_name": "LINDA",
        "authorized_official_title_or_position": "PHYSICIAN ASSISTANT",
        "authorized_official_telephone_number": "573-359-1372",
        "authorized_official_credential": "PA-C"
    },
    "taxonomies": [
        {
            "code": "282NR1301X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital, Rural",
            "state": "MO",
            "license": "2016016697",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hayti, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 1, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.