Healthmont of Missouri LLC

Primary specialty

Medicare Defined Swing Bed Hospital UnitTaxonomy code 275N00000X

Legal business name

HEALTHMONT OF MISSOURI LLC

Doing business as

Callaway Community Hospital

Practice address

10 S Hospital Dr
Fulton, MO 65251-2510

Phone

(573) 642-3376

Fax

(573) 592-6679

NPI assigned

Jun 14, 2006

Organization subpart

No

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

Authorized official

Name

Mr. John Graves

Title

Ceo

Phone

(573) 642-3376

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Callaway Community Hospital Doing business as

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

{
    "created_epoch": "1150243200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1329177600000",
    "number": "1184667263",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10 S HOSPITAL DR",
            "city": "FULTON",
            "state": "MO",
            "postal_code": "652512510",
            "telephone_number": "573-642-3376",
            "fax_number": "573-592-6679"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10 S HOSPITAL DR",
            "city": "FULTON",
            "state": "MO",
            "postal_code": "652512510",
            "telephone_number": "573-642-3376",
            "fax_number": "573-592-6679"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEALTHMONT OF MISSOURI LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-14",
        "last_updated": "2012-02-14",
        "status": "A",
        "authorized_official_last_name": "GRAVES",
        "authorized_official_first_name": "JOHN",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "573-642-3376",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "275N00000X",
            "taxonomy_group": "",
            "desc": "Medicare Defined Swing Bed Unit",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1184667263",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Callaway Community Hospital",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Elizabeth Ann Harris, SLPA
• Alexis Jordan Hassler, MAT, LAT, ATC
• Barbara Jean Hauck, R. PH.
• Healthmont of Missouri
• Healthmont of Missouri LLC
• Healthmont of Missouri LLC
• Healthmont of Missouri LLC
• Healthmont of Missouri LLC
• Clare Verda Heitz
• Chanda L Herron, LCSW

• Medicare Defined Swing Bed Hospital Unit in Fulton, MO
• Providers in Fulton, MO by specialty
• Medicare Defined Swing Bed Hospital Unit in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 14, 2012; 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.