Organization Active NPI

Scotland County Memorial Hospital Dba Lancaster Medical Services

  • Rural Health Clinic/Center
  • Lancaster, MO
National Provider Identifier
1629276209
Registry record updated Oct 15, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rural Health Clinic/CenterTaxonomy code 261QR1300X
Legal business name
SCOTLAND COUNTY MEMORIAL HOSPITAL DBA LANCASTER MEDICAL SERVICES
Practice address
Hwy 63 N
Lancaster, MO 63548
Phone
(660) 457-3655
Fax
(660) 457-3656
NPI assigned
Jul 5, 2007
Last updated
Oct 15, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 15, 2014

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

Authorized official

Name
Marcia R Dial
Title
Ceo
Phone
(660) 465-8511

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Rural Health Clinic/Center 261QR1300X NU Primary
Family Medicine Physician 207Q00000X NU

Addresses

Primary practice location

Hwy 63 N
Lancaster, MO 63548

Mailing address

RR 1 Box 54
Memphis, MO 63555-9788
Phone (660) 465-2828

Other identifiers 1

IdentifierTypeStateIssuer
505327205MedicaidMO

National Provider Directory

National Provider Directory
Tax ID family
Scotland County Memorial Hospital14 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

Practitioners & affiliated clinicians

Practitioners 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1183593600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1413331200000",
    "number": "1629276209",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "RR 1 BOX 54",
            "city": "MEMPHIS",
            "state": "MO",
            "postal_code": "635559788",
            "telephone_number": "660-465-2828",
            "fax_number": "660-465-2820"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "HWY 63 N",
            "city": "LANCASTER",
            "state": "MO",
            "postal_code": "63548",
            "telephone_number": "660-457-3655",
            "fax_number": "660-457-3656"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SCOTLAND COUNTY MEMORIAL HOSPITAL DBA LANCASTER MEDICAL SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-07-05",
        "last_updated": "2014-10-15",
        "status": "A",
        "authorized_official_last_name": "DIAL",
        "authorized_official_first_name": "MARCIA",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "660-465-8511"
    },
    "taxonomies": [
        {
            "code": "261QR1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rural Health",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "505327205",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lancaster, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 15, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.