NPIMap

Organization Active NPI

Piggott Community Hospital

  • Home Health Agency
  • Campbell, MO
National Provider Identifier
1659675536
Registry record updated Jul 22, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
196-20 Issued in MO
Legal business name
PIGGOTT COMMUNITY HOSPITAL
Practice address
115 N Ash St
Campbell, MO 63933-1505
Phone
(873) 246-2882
NPI assigned
Jan 6, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 22, 2025

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

Authorized official

Name
Mrs. Alice Whitehead
Title
Director
Phone
(573) 246-2882

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X 196-20 MO Primary

Addresses

Primary practice location

115 N Ash St
Campbell, MO 63933-1505

Mailing address

115 N Ash St
Campbell, MO 63933-1505
Phone (573) 246-2882

Other practice location 1

121A 1st St
Kennett, MO 63857-2051
Phone (573) 559-3535

Other identifiers 2

IdentifierTypeStateIssuer
581359908MedicaidMO
196-20OtherMOMO LICENSE NUMBER

Other names 2

  • Campbell Home Health Agency Doing business as
  • Piggott Health System Southeast Missouri Home Health Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20110211000840 MO Part A Provider - Home Health Agency 0345140448 Practice locations: Kennett, MO; Campbell, MO

Home health agency certification: CCN 267630

Legal name
PIGGOTT COMMUNITY HOSPITAL
Doing business as
PIGGOTT HEALTH SYSTEM SOUTHEAST MISSOURI HOME HEALTH
Certification status
Active
Provider type (POS)
Home health agency
Participating since
Mar 2, 2012
Last certification
Sep 13, 2018
Ownership / control type
Government Operated
Organization structure
GovernmentNon-profit
Enrollment address
115 N Ash St
Campbell, MO 63933-1505

Other NPIs with the same Medicare PAC ID 7

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

Care Compare: Home health agency

Medicare Care Compare
Listed as
Piggott Health System Southeast Missouri Home HealthCCN 267630
Overall star rating
3 of 5
Ownership
Government Operated
Certified
Mar 2, 2012
Medicare certification status
ActiveFrom the Provider of Services file
Services
Nursing, Home health aide, Physical therapy, Speech pathology, Occupational therapy

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
26D2181952Campbell Home Health Agency115 N Ash St, Campbell, MO 63933Certificate of waiverApr 13, 2028

National Provider Directory

National Provider Directory
Tax ID family
Campbell Medical Clinic13 organizations share this tax ID, including this one

Other organizations with this tax ID 12

Organizations that report the same tax identification number in the National Provider Directory.

Ownership & related parties

All disclosed owners & managing parties 7

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

NameRoleSinceShare
Alice M Whitehead Individual W-2 Managing EmployeeDir. of Special Projects and Home Jan 1, 2024
Cody Knight Individual Corporate DirectorVice Chairman Nov 1, 2021 5%
James L Magee Individual Corporate DirectorExecutive Director Jan 1, 2011 100%
W-2 Managing Employee Jan 1, 2011
Michelle Miller Individual W-2 Managing EmployeeAd; Jan 1, 2024
Stephanie Lowe Individual Corporate DirectorSecretary-Treasurer Oct 9, 2018 5%
City of Piggott Organization, Piggott, AR 5% Or Greater Direct Ownership Interest Jan 1, 2011 100%
David Gregory Individual Corporate DirectorChairman Nov 1, 2021 5%

Facilities with the same owner 4

Facilities that share an organizational owner with 5% or greater ownership or operational control.

Practitioners & affiliated clinicians

Affiliated clinicians 2

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

NPI Registry JSON

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

{
    "created_epoch": "1294272000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1753142400000",
    "number": "1659675536",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "115 N ASH ST",
            "city": "CAMPBELL",
            "state": "MO",
            "postal_code": "639331505",
            "telephone_number": "573-246-2882",
            "fax_number": "573-246-2122"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "115 N ASH ST",
            "city": "CAMPBELL",
            "state": "MO",
            "postal_code": "639331505",
            "telephone_number": "873-246-2882"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "121A 1st St",
            "address_purpose": "LOCATION",
            "city": "Kennett",
            "state": "MO",
            "postal_code": "638572051",
            "country_code": "US",
            "telephone_number": "573-559-3535",
            "fax_number": "573-559-3532",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "PIGGOTT COMMUNITY HOSPITAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-01-06",
        "last_updated": "2025-07-22",
        "certification_date": "2025-07-22",
        "status": "A",
        "authorized_official_last_name": "WHITEHEAD",
        "authorized_official_first_name": "ALICE",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "573-246-2882",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "MO",
            "license": "196-20",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "581359908",
            "state": "MO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MO LICENSE NUMBER",
            "identifier": "196-20",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Campbell Home Health Agency",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Campbell Home Health Agency",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Piggott Health System Southeast Missouri Home Health",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Campbell, MO

Sources for this page

Verify at the official NPI Registry.