Cooper County Memorial Hospital

Primary specialty

General Acute Care HospitalTaxonomy code 282N00000X

License

24836 Issued in MO

Legal business name

COOPER COUNTY MEMORIAL HOSPITAL

Practice address

17651 B Hwy
Boonville, MO 65233-2839

Phone

(660) 882-7461

Fax

(660) 882-6093

NPI assigned

Apr 26, 2007

Last updated

Nov 29, 2016By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mrs. Kelly E McManus

Title

Controller

Phone

(660) 882-7461

Specialties & licenses 2

Addresses

Tax ID family

Cooper County Memorial Hospital2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

• Cooper County Memorial Hospital

  • Rural Acute Care Hospital
  • Boonville, MO
  • NPI 1487807657
  NPD tax ID

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

{
    "created_epoch": "1177545600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1480377600000",
    "number": "1306066162",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17651 B HWY",
            "city": "BOONVILLE",
            "state": "MO",
            "postal_code": "652332839"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17651 B HWY",
            "city": "BOONVILLE",
            "state": "MO",
            "postal_code": "652332839",
            "telephone_number": "660-882-7461",
            "fax_number": "660-882-6093"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COOPER COUNTY MEMORIAL HOSPITAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-26",
        "last_updated": "2016-11-29",
        "status": "A",
        "authorized_official_last_name": "MCMANUS",
        "authorized_official_first_name": "KELLY",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "CONTROLLER",
        "authorized_official_telephone_number": "660-882-7461",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "282N00000X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital",
            "state": "MO",
            "license": "24836",
            "primary": true
        },
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "MO",
            "license": "24836",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jesse Buehler, CRAADC
• Central Missouri Healthcare Associates, LLC
• Chariton Health Systems Inc (Community Medical Equipment)
• Cooper County Ambulance District (Cooper County Ambulance)
• Cooper County Board of Sheltered Services
• Cooper County Memorial Hospital
• Cooper County Public Health Center
• Donette Dee Cornett, LPC
• Shelbey Allyn Costello, OTR/L
• Amanda Crabtree, PLPC

• General Acute Care Hospital in Boonville, MO
• Providers in Boonville, MO by specialty
• General Acute Care Hospital in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 29, 2016; 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.