Cedar County Memorial Hospital

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

License

236-20 Issued in MO

Legal business name

CEDAR COUNTY MEMORIAL HOSPITAL

Doing business as

Cedar County Memorial Hospital Home Health Agency

Practice address

1317 S Hwy 32
El Dorado Springs, MO 64744-2302

Phone

(417) 876-5477

Fax

(417) 876-5017

NPI assigned

Aug 31, 2006

Last updated

Feb 6, 2012By 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

Ms. Jana Witt, CEO

Title

Ceo

Phone

(417) 876-2511

Specialties & licenses 1

Addresses

Other names 1

• Cedar County Memorial Hospital Home Health Agency Doing business as

Locations

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

{
    "created_epoch": "1156982400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1328486400000",
    "number": "1508977844",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1401 S PARK ST",
            "city": "EL DORADO SPRINGS",
            "state": "MO",
            "postal_code": "647442037",
            "telephone_number": "417-876-5477",
            "fax_number": "417-876-5017"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1317 S HWY 32",
            "city": "EL DORADO SPRINGS",
            "state": "MO",
            "postal_code": "647442302",
            "telephone_number": "417-876-5477",
            "fax_number": "417-876-5017"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CEDAR COUNTY MEMORIAL HOSPITAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-31",
        "last_updated": "2012-02-06",
        "status": "A",
        "authorized_official_last_name": "WITT",
        "authorized_official_first_name": "JANA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "417-876-2511",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "CEO"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "MO",
            "license": "236-20",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Cedar County Memorial Hospital Home Health Agency",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Theodore Trent Bozarth, D.D.S.
• Charles William Brinker, DDS
• Rick D. Casey, DO
• Cedar County Memorial Hospital (Cedar County Memorial Hospital In Home Services Agency)
• Cedar County Memorial Hospital
• Cedar County Memorial Hospital (Cedar County Memorial Hospital In Home Services Agency)
• Cedar County Memorial Hospital (Cedar County Health Department)
• Cedar County Memorial Hospital
• Cedar County Memorial Hospital
• Cedar County Memorial Hospital (CCMH Medical Mall Clinic)

• Home Health Agency in El Dorado Springs, MO
• Providers in El Dorado Springs, MO by specialty
• Home Health Agency in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 6, 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.