Scotland County Memorial Hospital
Organization Active NPI Family Medicine Physician · Edina, MO
NPI 1568092732 · NPPES record last updated Jan 16, 2020
Key facts
- NPI
- 1568092732
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Family Medicine Physician 207Q00000X
- Legal business name
- SCOTLAND COUNTY MEMORIAL HOSPITAL
- Practice address
- 55682 State Highway 6
Edina, MO 63537-4267 - Phone
- (660) 465-8513
- Fax
- (660) 465-2956
- NPI assigned
- Jan 16, 2020
- Organization subpart
- No
Authorized official
- Name
- Sheryl Smith-Templeton
- Title
- Cfo
- Phone
- (660) 465-8513
Other NPIs on the same Medicare enrollment 2
Corporate family (same tax ID) 13
Member organizations 2
Practitioners 54
-
John Dee Bailey, D.O.
-
Aurora C. Bell, DO
-
Lori A Claypool, DO
-
Kelsey M Davis-Humes, D.O
-
Jeffrey D Davis, DO
-
Deborah A.K Holte, DPM
-
Stanley Raymond Horner, D.O.
-
Neil E Hoyal, M.D., D.O.
-
Daniel J. Lamothe-Jost, M.D.
-
Julia Ellen McNabb, D.O.
-
Jay Nastav, DO
-
Aaron Neisen, D.O.
-
Ly T Phan, MD
-
Tabitha Sarah Rohr, NP-C
-
Robert P Schneider, D.O.
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MO
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20040923000249 | MO | Part B Supplier - Clinic/Group Practice | 8224940366 |
Receives reassigned benefits from 56 practitioners 2 other NPIs on this enrollment This NPI is an additional NPI on the enrollment Practice locations: Memphis, MO |
National Provider Directory
- Tax ID family
- Scotland County Memorial Hospital Dba Kahoka Medical Services
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician |
207Q00000X | Yes |
Addresses
Primary practice location
55682 State Highway 6
Edina, MO 63537-4267
Mailing address
55682 State Highway 6
Edina, MO 63537-4267
Phone (660) 465-8513
Other names
- EDINA MEDICAL SERVICES
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | templetons@scotlandcountyhospital.com |
Other providers in Edina, MO
- Melissa Dawn McCauley
- Northeast Missouri Health Council, Inc.
- Kelsey Marie Ockenfels
- Tabitha Sarah Rohr
- Beth M Schrage
- Scotland County Memorial Hospital
All providers in Edina, MO · Family Medicine Physician in Missouri
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 16, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.