Organization Active NPI

Scotland County Memorial Hospital

Doing business as Edina Medical Services

  • Family Medicine Physician
  • Edina, MO
National Provider Identifier
1568092732
Registry record updated Jan 16, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
SCOTLAND COUNTY MEMORIAL HOSPITAL
Doing business as
Edina Medical Services
Practice address
55682 State Highway 6
Edina, MO 63537-4267
Phone
(660) 465-8513
Fax
(660) 465-2956
NPI assigned
Jan 16, 2020
Last updated
Jan 16, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 16, 2020

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

Authorized official

Name
Sheryl Smith-Templeton
Title
Cfo
Phone
(660) 465-8513

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207Q00000X Primary

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 1

  • EDINA MEDICAL SERVICES Doing business as

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address templetons@scotlandcountyhospital.com

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
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

Other NPIs on the same Medicare enrollment 2

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

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

450 E Sigler Ave
Ste C
Memphis, MO 63555

Interoperability endpoints

  • Direct secure messaging: templetons@scotlandcountyhospital.com

Practitioners & affiliated clinicians

Practitioners 56

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.

View all 56

NPI Registry JSON

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

{
    "created_epoch": "1579132800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1579132800000",
    "number": "1568092732",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "55682 STATE HIGHWAY 6",
            "city": "EDINA",
            "state": "MO",
            "postal_code": "635374267",
            "telephone_number": "660-465-8513",
            "fax_number": "660-465-2956"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "55682 STATE HIGHWAY 6",
            "city": "EDINA",
            "state": "MO",
            "postal_code": "635374267",
            "telephone_number": "660-465-8513",
            "fax_number": "660-465-2956"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SCOTLAND COUNTY MEMORIAL HOSPITAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-01-16",
        "last_updated": "2020-01-16",
        "certification_date": "2020-01-16",
        "status": "A",
        "authorized_official_last_name": "SMITH-TEMPLETON",
        "authorized_official_first_name": "SHERYL",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "660-465-8513"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "templetons@scotlandcountyhospital.com",
            "affiliation": "N",
            "address_1": "450 E Sigler Ave",
            "city": "Memphis",
            "state": "MO",
            "country_code": "US",
            "postal_code": "635551726",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "EDINA MEDICAL SERVICES",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Edina, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 16, 2020; 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.