NPIMap

Organization Active NPI

Scotland County Memorial Hospital Dba Wyaconda Medical Services

  • Family Medicine Physician
  • Wyaconda, MO
National Provider Identifier
1154529733
Registry record updated Jun 12, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
SCOTLAND COUNTY MEMORIAL HOSPITAL DBA WYACONDA MEDICAL SERVICES
Practice address
127 W Jefferson St
Wyaconda, MO 63474
Phone
(660) 479-5553
Fax
(660) 479-5520
NPI assigned
Jul 5, 2007
Last updated
Jun 12, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 12, 2008

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

Authorized official

Name
Marcia R Dial
Title
Ceo
Phone
(660) 465-8511

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X Primary

Addresses

Primary practice location

127 W Jefferson St
Wyaconda, MO 63474

Mailing address

RR 1 Box 54
Memphis, MO 63555-9788
Phone (660) 465-2828

Other identifiers 1

IdentifierTypeStateIssuer
500028600MedicaidMO

National Provider Directory

National Provider Directory
Tax ID family
Scotland County Memorial Hospital Dba Lancaster Medical Services14 organizations share this tax ID, including this one

Other organizations with this tax ID 13

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

View all 13

Practitioners & affiliated clinicians

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1183593600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1213228800000",
    "number": "1154529733",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "RR 1 BOX 54",
            "city": "MEMPHIS",
            "state": "MO",
            "postal_code": "635559788",
            "telephone_number": "660-465-2828",
            "fax_number": "660-465-2820"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "127 W JEFFERSON ST",
            "city": "WYACONDA",
            "state": "MO",
            "postal_code": "63474",
            "telephone_number": "660-479-5553",
            "fax_number": "660-479-5520"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SCOTLAND COUNTY MEMORIAL HOSPITAL DBA WYACONDA MEDICAL SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-07-05",
        "last_updated": "2008-06-12",
        "status": "A",
        "authorized_official_last_name": "DIAL",
        "authorized_official_first_name": "MARCIA",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "660-465-8511"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "500028600",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Wyaconda, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 12, 2008; 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.