NPIMap

Organization Active NPI

Parkland Health Center

Doing business as Parkland Health Center - Bonne Terre

  • Rural Acute Care Hospital
  • Bonne Terre, MO
National Provider Identifier
1932117173
Registry record updated May 1, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rural Acute Care HospitalTaxonomy code 282NR1301X
Legal business name
PARKLAND HEALTH CENTER
Doing business as
Parkland Health Center - Bonne Terre
Practice address
7245 Raider Rd
Bonne Terre, MO 63628-3767
Phone
(573) 756-6451
Fax
(573) 756-1408
NPI assigned
Aug 3, 2006
Last updated
May 1, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 1, 2024

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

Authorized official

Name
Ms. Annette Schnabel
Title
President
Phone
(573) 760-8280

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Critical Access Hospital 282NC0060X NU
Rural Acute Care Hospital 282NR1301X NU Primary

Addresses

Primary practice location

7245 Raider Rd
Bonne Terre, MO 63628-3767

Mailing address

1101 W Liberty St
Farmington, MO 63640-1921
Phone (573) 756-6451

Other identifiers 7

IdentifierTypeStateIssuer
260779OtherMOWPS J-5
182901OtherHEALTH LINK
999681OtherCOMMUNITY CARE PLUS
119OtherBLUE CROSS-BLUE SHIELD
5020035OtherUNITED HEALTHCARE
016028300MedicaidMO
856X8562OtherHEALTHCARE USA

Other names 1

  • Parkland Health Center - Bonne Terre Doing business as

Electronic endpoints 1

TypeEndpointUseAffiliation
FHIR URL https://epicproxy.et0965.epichosted.com/FHIRProxy/api/FHIR/DSTU2/

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20231211002637 MO Part A Provider - Rural Emergency Hospital (Reh) 1951219237 Practice locations: Bonne Terre, MO

NPI to CCN mapping 2

The Medicare certification numbers (CCNs) connected to NPI 1932117173. Details of each certification follow.

Hospital certification: CCN 260779

Legal name
PARKLAND HEALTH CENTER
Doing business as
PARKLAND HEALTH CENTER - BONNE TERRE
Certification status
Active
Provider type (POS)
Hospital – Rural emergency hospital
Participating since
Jan 1, 2024
Last certification
Jan 1, 2024
Beds
1
Ownership / control type
Private (not for profit)
Organization structure
CorporationNon-profit
Enrollment address
7245 Raider Rd
Bonne Terre, MO 63628-3767
Main/Primary Hospital Location

Hospital certification: CCN 261315

Name & address match This certification has no NPI in the Medicare enrollment files. CMS publishes enrollment files for six facility types only, so it was connected to this NPI by matching the name and address CMS publishes for it.

Legal name
PARKLAND HEALTH CENTER - BONNE TERRE
Certification status
Terminated Other: provider status change, Dec 31, 2023
Provider type (POS)
Hospital – Critical access hospital
Participating since
Jan 1, 2003
Last certification
Sep 26, 2019
Beds
3
Ownership / control type
Private (not for profit)
Facility address
7245 Raider Road
Bonne Terre, MO 63628

Other NPIs with the same Medicare PAC ID 5

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

Care Compare: Hospital

Medicare Care Compare
Listed as
Parkland Health Center - Bonne TerreCCN 260779 · All quality measures
Type
Rural Emergency Hospital
Ownership
Voluntary non-profit - Private
Medicare certification status
ActiveFrom the Provider of Services file
Emergency services
Yes

National Provider Directory

National Provider Directory

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

Ownership & related parties

All disclosed owners & managing parties 23

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

NameRoleSinceShare
Vanessa Trokey Individual Corporate DirectorDirector Jan 1, 2023
Operational/Managerial ControlDirector Jan 1, 2023
Andy Buchanan Individual Corporate DirectorDirector Jan 1, 2020
Operational/Managerial ControlDirector Jan 1, 2020
Deborah Peterson Individual Corporate OfficerChairman Aug 28, 2015
Corporate DirectorChairman Aug 28, 2015
Operational/Managerial ControlChairman Aug 28, 2015
Scott D Kirkley Individual Corporate DirectorDirector Jan 1, 2011
Operational/Managerial ControlDirector Jan 1, 2011
Thomas a Dear Individual Corporate Director Jan 1, 2025
Heather Taliaferro Individual Corporate OfficerVice President Jan 1, 2019
W-2 Managing EmployeeVice President Jan 1, 2019
Operational/Managerial ControlVice President Jan 1, 2019
Annette D Schnabel Individual Corporate OfficerPresident May 11, 2020
Corporate DirectorPresident May 11, 2020
W-2 Managing EmployeePresident May 11, 2020
Operational/Managerial ControlPresident May 11, 2023
Christie Winschel Individual Corporate OfficerVice President Jan 1, 2019
W-2 Managing EmployeeVice President Jan 1, 2019
Operational/Managerial ControlVice President Jan 1, 2019
Brian Boyer Individual Corporate DirectorDirector Jan 1, 2021
Operational/Managerial ControlDirector Jan 1, 2021
Missouri Baptist Medical Center Organization, Saint Louis, MO Corporation, Non-profit Operational/Managerial Control Jun 2, 1994
Samantha Renee McNail Individual Corporate DirectorDirector Jan 1, 2023
Operational/Managerial ControlDirector Jan 1, 2023
William Cotton Individual Corporate DirectorDirector Jan 1, 2022
Operational/Managerial ControlDirector Jan 1, 2022
Kevin L Cook Individual Corporate OfficerVice Chairman Jan 1, 1999
Corporate DirectorVice Chairman Jan 1, 1999
Operational/Managerial ControlVice Chairman Jan 1, 1999
Gary J Grix Individual Corporate DirectorDirector Jan 1, 1999
Operational/Managerial ControlDirector Jan 1, 1999
BJC Health System Organization, Saint Louis, MO Corporation, Non-profit Other Jun 1, 1993
Joseph Gilgour Individual Corporate DirectorDirector Jan 1, 2021
Operational/Managerial ControlDirector Jan 1, 2021
Trisha M Lollo Individual Corporate OfficerBoard Member Jan 1, 2026
Michael Roark Individual Corporate DirectorDirector Aug 28, 2015
Operational/Managerial ControlDirector Aug 28, 2015
Christopher Morrison Individual Corporate OfficerVice Chairman Jan 1, 2023
Corporate DirectorVice Chairman Jan 1, 2023
Operational/Managerial ControlVice Chairman Jan 1, 2023
Michael Silvey Individual Corporate DirectorDirector Jan 1, 2021
Operational/Managerial ControlDirector Jan 1, 2021
Scott Hawig Individual Corporate OfficerVice President, Finance Jan 1, 2026
Operational/Managerial ControlVice President, Finance Jan 1, 2026
Stacey Follis Individual Corporate DirectorDirector Jan 1, 2023
Operational/Managerial ControlDirector Jan 1, 2023
Kimberly Lynne Borchers Individual Corporate DirectorDirector Feb 18, 2020
Operational/Managerial ControlDirector Feb 18, 2020

Owners & managing parties with NPI records 10

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

All facility ownership & control disclosures 1

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

FacilityTypeRoleSince
Parkland Health Center - FarmingtonFarmington, MO, CCN 260163 Hospital Operational/Managerial Control Jun 1, 1993

Owned or controlled facilities with NPI records 2

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

Facilities with the same owner 11

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

Practitioners & affiliated clinicians

Practitioners 3

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 65

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

View all 65

NPI Registry JSON

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

{
    "created_epoch": "1154563200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1714521600000",
    "number": "1932117173",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1101 W LIBERTY ST",
            "city": "FARMINGTON",
            "state": "MO",
            "postal_code": "636401921",
            "telephone_number": "573-756-6451",
            "fax_number": "573-756-1408"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7245 RAIDER RD",
            "city": "BONNE TERRE",
            "state": "MO",
            "postal_code": "636283767",
            "telephone_number": "573-756-6451",
            "fax_number": "573-756-1408"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PARKLAND HEALTH CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-03",
        "last_updated": "2024-05-01",
        "certification_date": "2024-05-01",
        "status": "A",
        "authorized_official_last_name": "SCHNABEL",
        "authorized_official_first_name": "ANNETTE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "573-760-8280",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "282NC0060X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital, Critical Access",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "282NR1301X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital, Rural",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WPS J-5",
            "identifier": "260779",
            "state": "MO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTH LINK",
            "identifier": "182901",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "COMMUNITY CARE PLUS",
            "identifier": "999681",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS-BLUE SHIELD",
            "identifier": "119",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED HEALTHCARE",
            "identifier": "5020035",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "016028300",
            "state": "MO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTHCARE USA",
            "identifier": "856X8562",
            "state": null
        }
    ],
    "endpoints": [
        {
            "endpointType": "FHIR",
            "endpointTypeDescription": "FHIR URL",
            "endpoint": "https://epicproxy.et0965.epichosted.com/FHIRProxy/api/FHIR/DSTU2/",
            "affiliation": "N",
            "address_1": "1101 W Liberty St",
            "city": "Farmington",
            "state": "MO",
            "country_code": "US",
            "postal_code": "636401921",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Parkland Health Center - Bonne Terre",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Parkland Health Center - Bonne Terre",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Bonne Terre, MO

Sources for this page

Verify at the official NPI Registry.