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Putnam County Memorial Hospital

Organization Active NPI Critical Access Hospital · Unionville, MO

NPI 1609870195 · NPPES record last updated Apr 30, 2010

Key facts

NPI
1609870195
Entity type
Organization (NPI type 2)
Primary specialty
Critical Access Hospital 282NC0060X
License
222-41 (MO)
Legal business name
PUTNAM COUNTY MEMORIAL HOSPITAL
Practice address
1926 Oak St
Unionville, MO 63565-1180
Phone
(660) 947-2411
Fax
(660) 947-3825
NPI assigned
Jun 13, 2005
Organization subpart
No

Authorized official

Name
Mrs. Kari Casady
Title
Business Office Director
Phone
(660) 947-2411

Owners & managing parties with NPI records 3

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

Owned or controlled facilities with NPI records 1

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

Other NPIs on the same Medicare enrollment 2

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

Other NPIs with the same Medicare PAC ID 2

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

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

Practitioners 22

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

Affiliated clinicians 31

Clinicians who list this facility as an affiliation in Medicare Care Compare.

View all 31

Medicare Care Compare: Hospital

Listed as
Putnam County Memorial Hospital CCN 261305
Type
Critical Access Hospitals
Ownership
Government - Local
Medicare certification status
Active (Provider of Services file)
Emergency services
Yes

Source: Medicare Care Compare.

Medicare participation

Medicare fee-for-service enrollment
Enrolled (2 enrollments) in MO

Hospital certification: CCN 261305

Legal name
PUTNAM COUNTY MEMORIAL HOSPITAL
Doing business as
PUTNAM COUNTY MEMORIAL HOSPITAL
Certification status
Active
Provider type (POS)
Hospital – Critical access hospital
Participating since
Aug 1, 2000
Last certification
Nov 8, 2023
Beds
15
Ownership / control type
Local
Organization structure
Other · Non-profit
Enrollment address
1926 Oak St
Unionville, MO 63565-1180

All disclosed owners & managing parties 4

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

NameRoleSinceShare
Nathan L Baughman
Individual 		Corporate Officer Oct 23, 2017
Corporate Director Oct 23, 2017
W-2 Managing Employee Feb 22, 2018
Operational/Managerial Control Oct 23, 2017
Rhonda Webber
Individual 		W-2 Managing Employee Feb 22, 2018
Putnam County Memorial Hospital
Organization · Unionville, MO
Created for acquisition, Non-profit 		5% Or Greater Direct Ownership Interest Aug 1, 2000 100%
Operational/Managerial Control Aug 1, 2000 100%
Arlene G Pickens
Individual 		Corporate Officer Oct 23, 2017
Corporate Director Oct 23, 2017
Operational/Managerial Control Oct 23, 2017

All facility ownership & control disclosures 1

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

FacilityTypeRoleSince
Putnam County Memorial Hospital Rural Health Clinic
Unionville, MO · CCN 263495		 Rural health clinic Other Aug 1, 2000

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
O20060327000726 MO Part B Supplier - Clinic/Group Practice 7911915327 Receives reassigned benefits from 11 practitioners
5 other NPIs on this enrollment
Practice locations: Unionville, MO
O20100205000711 MO Part a Provider - Critical Access Hospital 7911915327 Receives reassigned benefits from 16 practitioners
Practice locations: Unionville, MO

National Provider Directory

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Critical Access Hospital 282NC0060X 222-41 MO Yes

Addresses

Primary practice location

1926 Oak St
Unionville, MO 63565-1180

Mailing address

1926 Oak St
PO Box 389
Unionville, MO 63565-1180
Phone (660) 947-2411

Other identifiers

IdentifierTypeStateIssuer
0928770MedicaidIA
010322501MedicaidMO

Other providers in Unionville, MO

All providers in Unionville, MO · Critical Access Hospital in Missouri

Sources for this page

Verify at the official NPI Registry.