NPIMap

Organization Active NPI

Putnam County Memorial Hospital

  • Medicare Defined Swing Bed Hospital Unit
  • Unionville, MO
National Provider Identifier
1861610255
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medicare Defined Swing Bed Hospital UnitTaxonomy code 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
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

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

Specialties & licenses 1

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

Addresses

Primary practice location

1926 Oak St
Unionville, MO 63565-1180

Mailing address

1926 Oak St
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
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

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1861610255. Details of each certification follow.

Hospital certification: CCN 26Z305

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

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.

National Provider Directory

National Provider Directory
Tax ID family
PCMH Rural Health Clini2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

Ownership & related parties

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

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

    Corporate Director, Corporate Officer, Operational/Managerial Control, W-2 Managing Employee

    CMS ownership

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

Owned or controlled facilities with NPI records 2

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

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.

Affiliated clinicians 3

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": "1177286400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1861610255",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "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"
        },
        {
            "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": "2007-04-23",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "WEBBER",
        "authorized_official_first_name": "RHONDA",
        "authorized_official_middle_name": "G",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "660-947-2411",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "275N00000X",
            "taxonomy_group": "",
            "desc": "Medicare Defined Swing Bed Unit",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Unionville, MO

Sources for this page

Verify at the official NPI Registry.