NPIMap

Organization Active NPI

Putnam County Memorial Hospital

  • Critical Access Hospital
  • Unionville, MO
National Provider Identifier
1609870195
Registry record updated Apr 30, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Critical Access HospitalTaxonomy code 282NC0060X
License
222-41 Issued in 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
Last updated
Apr 30, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 30, 2010

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

Authorized official

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

Specialties & licenses 1

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

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

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO2 enrollments

Enrollment records 2

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

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1609870195. Details of each certification follow.

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
OtherNon-profit
Enrollment address
1926 Oak St
Unionville, MO 63565-1180

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

Other NPIs with the same Medicare PAC ID 2

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

Other NPIs on the same Medicare enrollment 2

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

Care Compare: Hospital

Medicare Care Compare
Listed as
Putnam County Memorial HospitalCCN 261305 · All quality measures
Type
Critical Access Hospitals
Ownership
Government - Local
Medicare certification status
ActiveFrom the Provider of Services file
Emergency services
Yes

National Provider Directory

National Provider Directory

Ownership & related parties

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

Owners & managing parties with NPI records 3

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

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 ClinicUnionville, MO, CCN 263495 Rural health clinic Other Aug 1, 2000

Owned or controlled facilities with NPI records 1

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

Practitioners & affiliated clinicians

Practitioners 22

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 22

Affiliated clinicians 31

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

View all 31

NPI Registry JSON

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

{
    "created_epoch": "1118620800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1272585600000",
    "number": "1609870195",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1926 OAK ST",
            "address_2": "PO BOX 389",
            "city": "UNIONVILLE",
            "state": "MO",
            "postal_code": "635651180",
            "telephone_number": "660-947-2411",
            "fax_number": "660-947-3825"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1926 OAK ST",
            "city": "UNIONVILLE",
            "state": "MO",
            "postal_code": "635651180",
            "telephone_number": "660-947-2411",
            "fax_number": "660-947-3825"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PUTNAM COUNTY MEMORIAL HOSPITAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-06-13",
        "last_updated": "2010-04-30",
        "status": "A",
        "authorized_official_last_name": "CASADY",
        "authorized_official_first_name": "KARI",
        "authorized_official_title_or_position": "BUSINESS OFFICE DIRECTOR",
        "authorized_official_telephone_number": "660-947-2411",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "282NC0060X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital, Critical Access",
            "state": "MO",
            "license": "222-41",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Unionville, MO

Sources for this page

Verify at the official NPI Registry.