NPIMap

Organization Active NPI

Scotland County Memorial Hospital

Doing business as Wyaconda Medical Services

  • Rural Health Clinic/Center
  • Wyaconda, MO
National Provider Identifier
1528077534
Registry record updated Jun 20, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rural Health Clinic/CenterTaxonomy code 261QR1300X
Legal business name
SCOTLAND COUNTY MEMORIAL HOSPITAL
Doing business as
Wyaconda Medical Services
Practice address
11024 Jefferson St
Wyaconda, MO 63474-2236
Phone
(660) 479-5553
Fax
(660) 479-5520
NPI assigned
Aug 7, 2006
Last updated
Jun 20, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 20, 2025

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

Authorized official

Name
Meagan E WeberNPI 1881011468
Title
Ceo
Phone
(660) 465-8511

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X
Rural Health Clinic/Center 261QR1300X Primary

Addresses

Primary practice location

11024 Jefferson St
Wyaconda, MO 63474-2236

Mailing address

11024 Jefferson St
Wyaconda, MO 63474-2236
Phone (660) 479-5553

Other names 1

  • WYACONDA MEDICAL SERVICES Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20080611000137 MO Part A Provider - Rural Health Clinic 8224940366 Practice locations: Wyaconda, MO

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1528077534. Details of each certification follow.

Rural health clinic certification: CCN 268519

Legal name
SCOTLAND COUNTY MEMORIAL HOSPITAL
Doing business as
WYACONDA MEDICAL SERVICES
Certification status
Active
Provider type (POS)
Rural health clinic
Participating since
Dec 11, 1997
Last certification
Sep 13, 2023
Ownership / control type
Non-profit – church related
Organization structure
OtherNon-profit
Enrollment address
11024 Jefferson St
Wyaconda, MO 63474-2236
Related CCNs
261310

Facilities connected through Provider of Services related, parent or unit certification numbers.

Other NPIs with the same Medicare PAC ID 5

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
26D0936594Wyaconda Medical Services11024 Jefferson St, Wyaconda, MO 63474Certificate of waiverNov 24, 2027

National Provider Directory

National Provider Directory
Tax ID family
Scotland County Memorial Hospital Dba Lancaster Medical Services14 organizations share this tax ID, including this one

Other organizations with this tax ID 13

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

View all 13

Locations

11024 Jefferson St
Wyaconda, MO 63474
Phone (660) 479-5553

Ownership & related parties

All disclosed owners & managing parties 9

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Meagan Weber Individual Corporate OfficerCeo Aug 16, 2022 100%
W-2 Managing EmployeeCeo Aug 16, 2022 100%
Operational/Managerial ControlCeo Aug 16, 2022 100%
Lori Fulk Individual Corporate DirectorBoard Member Apr 28, 2016
Aarron Holt Individual Corporate OfficerBoard Treasurer Sep 27, 2022
Christine Musgrove Individual Corporate OfficerBoard Secretary Oct 10, 2022
Nicholas Hatfield Individual Corporate DirectorBoard Member Apr 28, 2020
Travis Trueblood Individual Corporate OfficerBoard President Jan 25, 2022
Brent M Peirick Individual Corporate OfficerCoo Aug 16, 2022
W-2 Managing Employee Aug 16, 2022 100%
Operational/Managerial ControlCoo Aug 16, 2022 100%
Scotland County Memorial Hospital Organization, Wyaconda, MO Operational/Managerial Control Dec 11, 1997 100%
Jesse Zeist Individual Corporate OfficerBoard Vice-President Oct 10, 2022

Owners & managing parties with NPI records 5

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

All facility ownership & control disclosures 5

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Scotland County HospitalMemphis, MO, CCN 261310 Hospital 5% Or Greater Direct Ownership Interest (100%) May 1, 2008
Scotland County HospitalMemphis, MO, CCN 26Z310 Hospital 5% Or Greater Direct Ownership Interest May 1, 2008
Lancaster Medical ServicesLancaster, MO, CCN 268530 Rural health clinic 5% Or Greater Direct Ownership Interest (100%) Jan 8, 2001
Memphis Medical ServicesMemphis, MO, CCN 268518 Rural health clinic Operational/Managerial Control (100%) Jul 1, 1999
Edina Medical ServicesEdina, MO, CCN 268781 Rural health clinic 5% Or Greater Direct Ownership Interest (100%) Feb 10, 2020

Owned or controlled facilities with NPI records 5

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Facilities with the same owner 5

Facilities that share an organizational owner with 5% or greater ownership or operational control.

Practitioners & affiliated clinicians

Practitioners 6

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": "1154908800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1750377600000",
    "number": "1528077534",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11024 JEFFERSON ST",
            "city": "WYACONDA",
            "state": "MO",
            "postal_code": "634742236",
            "telephone_number": "660-479-5553",
            "fax_number": "660-479-5520"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11024 JEFFERSON ST",
            "city": "WYACONDA",
            "state": "MO",
            "postal_code": "634742236",
            "telephone_number": "660-479-5553",
            "fax_number": "660-479-5520"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SCOTLAND COUNTY MEMORIAL HOSPITAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-07",
        "last_updated": "2025-06-20",
        "certification_date": "2025-06-20",
        "status": "A",
        "authorized_official_last_name": "WEBER",
        "authorized_official_first_name": "MEAGAN",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "660-465-8511"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QR1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rural Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "WYACONDA MEDICAL SERVICES",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Wyaconda, MO

Sources for this page

Verify at the official NPI Registry.