Active NPI
Pemiscot Memorial Health System
- Rural Acute Care Hospital
- Hayti, MO
National Provider Identifier
1114379153
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Rural Acute Care Hospital
- License
- 2016016697
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 26D0442259 | Pemiscot Memorial Health Systems | Compliance | Apr 5, 2027 |
| 26D2193245 | Pemiscot Memorial Health Systems | Certificate of waiver | Sep 17, 2026 |
National Provider Directory
National Provider DirectoryNPI 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.