NPIMap

Organization Active NPI

Landmark Hospital of Columbia LLC

  • Long Term Care Hospital
  • Columbia, MO
National Provider Identifier
1972732378
Registry record updated Mar 9, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Long Term Care HospitalTaxonomy code 282E00000X
License
517-4 Issued in MO
Legal business name
LANDMARK HOSPITAL OF COLUMBIA LLC
Practice address
604 Old Highway 63 N
Columbia, MO 65201-6308
Phone
(573) 499-6600
NPI assigned
Jul 7, 2009
Last updated
Mar 9, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 9, 2026

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

Authorized official

Name
Tracy Lynne Bollinger, CPA
Title
Cfo
Phone
(573) 450-2530

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Long Term Care Hospital 282E00000X 517-4 MO Primary

Addresses

Primary practice location

604 Old Highway 63 N
Columbia, MO 65201-6308

Mailing address

PO Box 267
Jackson, MO 63755-0267
Phone (573) 331-8412

Other identifiers 1

IdentifierTypeStateIssuer
016451908MedicaidMO

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20090917000047 MO Part A Provider - Hospital 2062568025 Practice locations: Columbia, MO
O20100422000128 MO Part B Supplier - Clinic/Group Practice 2062568025 Receives reassigned benefits from 18 practitioners
Practice locations: Columbia, MO

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1972732378. Details of each certification follow.

Hospital certification: CCN 262020

Legal name
LANDMARK HOSPITAL OF COLUMBIA LLC
Doing business as
LANDMARK HOSPITAL OF COLUMBIA LLC
Certification status
Active
Provider type (POS)
Hospital – Long-term
Participating since
Apr 1, 2010
Last certification
Jan 30, 2020
Beds
42
Ownership / control type
Private (for profit)
Organization structure
LLCProprietary
Incorporated
Jun 14, 2007 in MO
Enrollment address
604 Old 63 N
Columbia, MO 65201-6308
Other Hospital Practice Location
Hospital subgroups
General, Acute care, Other

Care Compare: Long-term care hospital

Medicare Care Compare
Listed as
Landmark Hospital of Columbia, LLCCCN 262020 · All quality measures
Ownership
For profit
Certified
Apr 1, 2010
Medicare certification status
ActiveFrom the Provider of Services file
Beds
42

National Provider Directory

National Provider Directory

Ownership & related parties

All disclosed owners & managing parties 5

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

NameRoleSinceShare
Tracy Larose Individual Corporate Director Mar 10, 2020
Landmark Holdings of Florida, LLC Organization, Cape Girardeau, MO LLC 5% Or Greater Direct Ownership Interest Jun 21, 2007 97.5%
William K Kapp Individual 5% Or Greater Direct Ownership Interest Jun 21, 2007 97.5%
Corporate Director Jun 21, 2007
Kevin B Murray Individual Corporate Officer Apr 18, 2022
Rebekah Palmatier Individual Operational/Managerial Control May 9, 2017

Owners & managing parties with NPI records 1

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

Facilities with the same owner 3

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

Practitioners & affiliated clinicians

Practitioners 19

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.

View all 19

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": "1246924800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1773014400000",
    "number": "1972732378",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 267",
            "city": "JACKSON",
            "state": "MO",
            "postal_code": "637550267",
            "telephone_number": "573-331-8412"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "604 OLD HIGHWAY 63 N",
            "city": "COLUMBIA",
            "state": "MO",
            "postal_code": "652016308",
            "telephone_number": "573-499-6600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LANDMARK HOSPITAL OF COLUMBIA LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-07-07",
        "last_updated": "2026-03-09",
        "certification_date": "2026-03-09",
        "status": "A",
        "authorized_official_last_name": "BOLLINGER",
        "authorized_official_first_name": "TRACY",
        "authorized_official_middle_name": "LYNNE",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "573-450-2530",
        "authorized_official_credential": "CPA"
    },
    "taxonomies": [
        {
            "code": "282E00000X",
            "taxonomy_group": "",
            "desc": "Long Term Care Hospital",
            "state": "MO",
            "license": "517-4",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "016451908",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbia, MO

Sources for this page

Verify at the official NPI Registry.