Cedar County Memorial Hospital
Organization Active NPI Critical Access Hospital · El Dorado Springs, MO
NPI 1619090404 · NPPES record last updated Apr 2, 2026
Key facts
- NPI
- 1619090404
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Critical Access Hospital 282NC0060X
- Legal business name
- CEDAR COUNTY MEMORIAL HOSPITAL
- Practice address
- 1401 S Park St
El Dorado Springs, MO 64744-2037 - Phone
- (417) 876-2511
- Fax
- (417) 876-3812
- NPI assigned
- Apr 9, 2007
- Organization subpart
- Yes
- Parent organization (as reported)
- CEDAR COUNTY MEMORIAL HOSPITAL
Authorized official
- Name
- Donald L Carpenter
- Title
- Ceo
- Phone
- (417) 876-2511
Owned or controlled facilities with NPI records 3
Other NPIs on the same Medicare enrollment 1
Other NPIs with the same Medicare PAC ID 4
Practitioners 59
-
Russell Richard Kemm, D.O.
-
Brooke Nicole McPeak, FNP-C
-
Grant Tyler Pierson, D.O.
-
David Sean Smith, D.O.
-
Jenifer C. Webb, NP
-
Richard A White, MD
-
Katherine M Williams, FNP-C
-
Irene A Carrothers, M.D.
-
Russell L Cowles III, M.D.
-
Asha R Schweitzer, D.O.
-
Brett A Studley, MD
-
Lee-Anne J Millas, APN, FNP-C
-
David Zuehlke, MD
-
Jeremy Stayton, MD
-
Charles A. Featherly, D.O.
-
Maria N Gomes, M.D.
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MO
All facility ownership & control disclosures 3
| Facility | Type | Role | Since |
|---|---|---|---|
| Cedar County Memorial Hospital |
Hospital | Operational/Managerial Control (100%) | Dec 31, 1991 |
| Cedar County Memorial Hospital |
Hospital | Operational/Managerial Control (100%) | Dec 31, 1991 |
| CCMH Medical Mall Clinic |
Rural health clinic | Operational/Managerial Control (100%) | Oct 30, 1995 |
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20040120000314 | MO | Part B Supplier - Clinic/Group Practice | 7315841129 |
Receives reassigned benefits from 55 practitioners 1 other NPI on this enrollment Practice locations: El Dorado Springs, MO; Stockton, MO |
National Provider Directory
- Part of
- Cedar County Family Clinic
Locations
326 S Mount Auburn Rd
Cape Girardeau, MO 63703
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Anesthesiology Physician |
207L00000X | |||
| Emergency Medicine Physician |
207P00000X | |||
| Family Medicine Physician |
207Q00000X | |||
| Internal Medicine Physician |
207R00000X | |||
| Hospitalist Physician |
208M00000X | |||
| Critical Access Hospital | 282NC0060X | Yes |
Addresses
Primary practice location
1401 S Park St
El Dorado Springs, MO 64744-2037
Mailing address
1401 S Park St
El Dorado Springs, MO 64744-2037
Phone (417) 876-2511
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 540325305 | Medicaid | MO |
Other names
- Professional Group
Other providers in El Dorado Springs, MO
- Cedar County Memorial Hospital
- Cedar County Memorial Hospital
- Cedar County Memorial Hospital
- Cedar County Memorial Hospital
- Cedar County Memorial Hospital
- Cedar County Memorial Hospital
- Cedar County Memorial Hospital
- Cedar County Memorial Hospital
- Tallie Chadd
- Abby Leah Chilton
All providers in El Dorado Springs, MO · Critical Access Hospital in Missouri
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 2, 2026. 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.
- CMS facility enrollments, All Owners and change-of-ownership files: CCNs, owners and managing parties.
- Provider of Services files (CMS): certification status, beds and related CCNs.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.