SULLIVAN COUNTY MEMORIAL HOSPITAL NPI 1275674699

NPI Information

  • NPI: 1275674699
  • Provider Name: SULLIVAN COUNTY MEMORIAL HOSPITAL
  • Classification: Medicare Defined Swing Bed Unit - 275N00000X
  • Entity Type: Organization
  • Address: 630 W 3RD ST
    MILAN, MO
    ZIP 63556
  • Phone: (660) 265-4212

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NPI Details

SULLIVAN COUNTY MEMORIAL HOSPITAL is a medicare defined swing bed unit in Milan, MO. The provider is a unit of a hospital that has a Medicare provider agreement and has been granted approval from HCFA to provide post-hospital extended care services and be reimbursed as a swing-bed unit. SULLIVAN COUNTY MEMORIAL HOSPITAL NPI is 1275674699. The provider is registered as an organization entity type.

The provider's business location address is:

630 W 3RD ST
MILAN, MO
ZIP 63556-076
Phone: (660) 265-4212
Fax: (660) 265-4898

The provider's authorized official is Amy Michael .
The authorized official title is Chief Financial Officer and has the following contact phone number (660) 265-4212.

The enumeration date for this NPI number is 2/9/2007 and was last updated on 4/24/2023.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1282NC0060XGeneral Acute Care HospitalCritical Access130-49MISSOURINo
2275N00000XMedicare Defined Swing Bed UnitYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1010324804MEDICAIDMISSOURI

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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