NPIMap

Putnam County Memorial Hospital

Organization Active NPI Medicare Defined Swing Bed Hospital Unit · Unionville, MO

NPI 1861610255 · NPPES record last updated Aug 22, 2020

Key facts

NPI
1861610255
Entity type
Organization (NPI type 2)
Primary specialty
Medicare Defined Swing Bed Hospital Unit 275N00000X
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
Apr 23, 2007
Organization subpart
No

Authorized official

Name
Mrs. Rhonda G Webber
Title
Office Manager
Phone
(660) 947-2411

Owners & managing parties with NPI records 1

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

  • Nathan Lynn Baughman, NP Family Nurse Practitioner · Unionville, MO · NPI 1811455934
    CMS ownership CORPORATE DIRECTOR · CORPORATE OFFICER · OPERATIONAL/MANAGERIAL CONTROL · W-2 MANAGING EMPLOYEE

Owned or controlled facilities with NPI records 2

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).

Corporate family (same tax ID) 1

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

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

Practitioners 5

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

Affiliated clinicians 3

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

Medicare participation

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

Hospital certification: CCN 26Z305

Legal name
PUTNAM COUNTY MEMORIAL HOSPITAL
Doing business as
PUTNAM COUNTY MEMORIAL HOSPITAL
Organization structure
Other · Non-profit
Enrollment address
1926 Oak St
Unionville, MO 63565-1180
Main/Primary Hospital Location

All disclosed owners & managing parties 3

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 Oct 23, 2017
Operational/Managerial Control Oct 23, 2017
Rhonda Webber
Individual 		W-2 Managing Employee Feb 22, 2018
Arlene G Pickens
Individual 		Corporate Officer Oct 23, 2017
Corporate Director Oct 23, 2017
W-2 Managing Employee Oct 23, 2017
Operational/Managerial Control Oct 23, 2017

All facility ownership & control disclosures 2

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

FacilityTypeRoleSince
Putnam County Memorial Hospital
Unionville, MO · CCN 261305		 Hospital 5% Or Greater Direct Ownership Interest (100%)
Operational/Managerial Control (100%)		 Aug 1, 2000
Aug 1, 2000
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
This NPI is an additional NPI on the enrollment
Practice locations: Unionville, MO
O20100430000273 MO Part a Provider - Critical Access Hospital 7911915327 Receives reassigned benefits from 1 practitioner
Practice locations: Unionville, MO

National Provider Directory

Tax ID family
PCMH Rural Health Clini (2 organizations share this tax ID)

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Medicare Defined Swing Bed Hospital Unit 275N00000X Yes

Addresses

Primary practice location

1926 Oak St
Unionville, MO 63565-1180

Mailing address

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

Other providers in Unionville, MO

All providers in Unionville, MO · Medicare Defined Swing Bed Hospital Unit in Missouri

Sources for this page

Verify at the official NPI Registry.