Kirksville Missouri Hospital Company LLC
Organization Active NPI Rural Health Clinic/Center · Edina, MO
NPI 1346215944 · NPPES record last updated Apr 28, 2021
Key facts
- NPI
- 1346215944
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Rural Health Clinic/Center 261QR1300X
- License
- 462-4 (MO)
- Legal business name
- KIRKSVILLE MISSOURI HOSPITAL COMPANY LLC
- Practice address
- 205 S 5TH St
Edina, MO 63537-1526 - Phone
- (660) 397-2400
- NPI assigned
- Feb 17, 2006
- Organization subpart
- Yes
- Parent organization (as reported)
- KIRKSVILLE MISSOURI HOSPITAL COMPANY LLC
Authorized official
- Name
- Paula M Lalor
- Title
- Director/Delegated Official
- Phone
- (629) 215-3953
Practitioners 12
-
Kathy Ayers, F.N.P.
-
Margaret Mae Ernst, FNP
-
Shawnee Lynn Kellison, RNBCFNP
-
Russell L. Kennedy, D.O.
-
Philip Stitzer, DO
-
Robert Daniel Floyd, D.O.
-
Kelly Michael Foley, PA-C
-
Matthew Robert Hardee, D.O.
-
David Nelson Pfohl, MD, FACP, GAQ
-
Crystal Redman, D.O.
National Provider Directory
- Part of
- Kirksville Missouri Co LLC
Locations
205 S 5th St
Edina, MO 63537
Phone (660) 397-2100
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Rural Health Clinic/Center | 261QR1300X | 462-4 | MO | Yes |
Addresses
Primary practice location
205 S 5TH St
Edina, MO 63537-1526
Mailing address
PO Box 7972
Belfast, ME 04915-7900
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 597774900 | Medicaid | MO | |
| 10294M | Other | BCBS |
Other names
- Family Health Center of Edina
Other providers in Edina, MO
- Hannah Katherine Dale
- Joyce C Delaney
- HRW, Inc.
- HRW, Inc.
- Kirksville Missouri Hospital Company LLC
- Taylor Nicole Klocke
- Knox County Ambulance District
- Knox County Health Department
- Knox County Health Department
- Knox County Nursing Home District
All providers in Edina, MO · Rural Health Clinic/Center in Missouri
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 28, 2021. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.