| Pemiscot County Memorial Hospital | |
| 
					106 West 12th St Caruthersville MO 63830  | |
| (573) 359-1782 | |
| (573) 333-4665 | 
| Full Name | Pemiscot County Memorial Hospital | 
|---|---|
| Speciality | Clinic/Center | 
| Location | 106 West 12th St, Caruthersville, Missouri | 
| Authorized Official Name and Position | Lauren Turnage (REVENUE CYCLE DIRECTOR) | 
| Authorized Official Contact | 5733593498 | 
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. | 
| Mailing Address | Practice Location Address | 
|---|---|
| Pemiscot County Memorial Hospital 946 E Reed St P O Box 489 Hayti MO 63851-1243 Ph: (573) 359-3612  | Pemiscot County Memorial Hospital 106 West 12th St Caruthersville MO 63830 Ph: (573) 359-1782  | 
| NPI Number | 1437251634 | 
|---|---|
| Provider Enumeration Date | 09/01/2006 | 
| Last Update Date | 08/07/2024 | 
| Medicare PECOS PAC ID | 8426024159 | 
|---|---|
| Medicare Enrollment ID | O20071204000576 | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1437251634 | NPI | - | NPPES | 
| 594778409 | Medicaid | MO | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 261QR1300X | Clinic/center - Rural Health | (* (Not Available)) | Primary | 
Missouri Delta Medical Center Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 106 W 12th St, Caruthersville, MO 63830 Phone: 573-575-4181 Fax: 573-575-4180  | |
Douglas Fitzwater Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 412 Ward Ave, Caruthersville, MO 63830 Phone: 573-333-0033 Fax: 573-333-2522  | |
Wt Regional Medical Associates Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 108 W 15th Street, Caruthersville, MO 63830 Phone: 731-512-1277  | |
Caruthersville Clinic Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 412 Ward Ave, Caruthersville, MO 63830 Phone: 579-333-0033 Fax: 573-333-2522  | |
Wt Regional Medical Associates Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 108 W 15th St, Caruthersville, MO 63830 Phone: 573-333-0033 Fax: 573-333-2522  | |
Southeast Missouri Health Network Primary Care Clinic Medicare: Medicare Enrolled Practice Location: Caruthersville Medical Center, 109 East 5th Street, Caruthersville, MO 63830 Phone: 573-359-9803 Fax: 573-359-0990  |