Organization Active NPI

Landmark Hospital of Cape Girardeau LLC

  • Long Term Care Hospital
  • Cape Girareau, MO
National Provider Identifier
1437105574
Registry record updated Mar 9, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Long Term Care HospitalTaxonomy code 282E00000X
License
496-0 Issued in MO
Legal business name
LANDMARK HOSPITAL OF CAPE GIRARDEAU LLC
Practice address
3255 Independence Street
Cape Girareau, MO 63701
Phone
(573) 335-1091
Fax
(573) 331-8453
NPI assigned
May 26, 2006
Last updated
Mar 9, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 9, 2026

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

Authorized official

Name
Tracy Lynne Bollinger, CPA
Title
Cfo
Phone
(573) 450-2530

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Long Term Care Hospital 282E00000X 496-0 MO Primary

Addresses

Primary practice location

3255 Independence Street
Cape Girareau, MO 63701

Mailing address

PO Box 267
Jackson, MO 63755-0267
Phone (573) 331-8412

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20080312000600 MO Part B Supplier - Clinic/Group Practice 8729092747 Receives reassigned benefits from 2 practitioners
Practice locations: Cape Girardeau, MO

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 3

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": "1148601600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1773014400000",
    "number": "1437105574",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 267",
            "city": "JACKSON",
            "state": "MO",
            "postal_code": "637550267",
            "telephone_number": "573-331-8412"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3255 INDEPENDENCE STREET",
            "city": "CAPE GIRAREAU",
            "state": "MO",
            "postal_code": "63701",
            "telephone_number": "573-335-1091",
            "fax_number": "573-331-8453"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LANDMARK HOSPITAL OF CAPE GIRARDEAU LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-26",
        "last_updated": "2026-03-09",
        "certification_date": "2026-03-09",
        "status": "A",
        "authorized_official_last_name": "BOLLINGER",
        "authorized_official_first_name": "TRACY",
        "authorized_official_middle_name": "LYNNE",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "573-450-2530",
        "authorized_official_credential": "CPA"
    },
    "taxonomies": [
        {
            "code": "282E00000X",
            "taxonomy_group": "",
            "desc": "Long Term Care Hospital",
            "state": "MO",
            "license": "496-0",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cape Girareau, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 9, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.