Carroll County Memorial Hospital

Primary specialty

Rural Health Clinic/CenterTaxonomy code 261QR1300X

Legal business name

CARROLL COUNTY MEMORIAL HOSPITAL

Doing business as

Reid Medical Clinic

Practice address

1401 N Jefferson St
Carrollton, MO 64633-1945

Phone

(660) 542-3900

Fax

(660) 542-3902

NPI assigned

Jun 22, 2009

Last updated

Mar 6, 2013By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Jeffrey Tindle

Title

Ceo

Phone

(660) 542-1695

Specialties & licenses 2

Addresses

Other names 1

• Reid Medical Clinic Doing business as

Member of 1

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

• Carroll County Memorial Hospital

  • Critical Access Hospital
  • Carrollton, MO
  • NPI 1528067113

  Member Of

  NPD member

Locations

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.

• Donald Leroy Kampschmidt, M.D.

  • Family Medicine Physician
  • Carrollton, MO
  • NPI 1891801684
  NPD (past)

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

{
    "created_epoch": "1245628800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1362528000000",
    "number": "1972731529",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1401 N JEFFERSON ST",
            "city": "CARROLLTON",
            "state": "MO",
            "postal_code": "646331945",
            "telephone_number": "660-542-3900",
            "fax_number": "660-542-3902"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1401 N JEFFERSON ST",
            "city": "CARROLLTON",
            "state": "MO",
            "postal_code": "646331945",
            "telephone_number": "660-542-3900",
            "fax_number": "660-542-3902"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CARROLL COUNTY MEMORIAL HOSPITAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-06-22",
        "last_updated": "2013-03-06",
        "status": "A",
        "authorized_official_last_name": "TINDLE",
        "authorized_official_first_name": "JEFFREY",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "660-542-1695"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QR1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rural Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Reid Medical Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Carroll County Health Department
• Carroll County Hospital Phtysicians
• Carroll County Medical Clinic
• Carroll County Memorial Hospital (Carroll County Memorial Hospital Home Health Care Agency)
• Carroll County Memorial Hospital
• Carroll House, Inc. (Carroll House)
• Carrollton Chiropractic Clinic, LLC
• Carrollton Dental Clinic
• Carrollton R-VII
• Erin Keeley Magee Casner, PHARM.D.

• Rural Health Clinic/Center in Carrollton, MO
• Providers in Carrollton, MO by specialty
• Rural Health Clinic/Center in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 6, 2013; 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.