Caruthersville Nursing Center

LBN: Pemiscot County Memorial Hospital
Caruthersville Nursing Center is an health care organization with primary practice located at 500 Truman Blvd , Caruthersville MO 63830-1261. The organization recently has 2 registered licenses in different health care specialties including Nursing & Custodial Care Facilities / Nursing Facility/Intermediate Care Facility, Nursing & Custodial Care Facilities / Skilled Nursing Facility. Nursing & Custodial Care Facilities / Skilled Nursing Facility is the primary health care specialty. Pemiscot County Memorial Hospital can be contacted via phone (573) 333-5150, or through Noble, Kerry via phone (573) 359-3612.

Contact Information

Primary practice address
500 Truman Blvd Caruthersville MO 63830-1261
Phone: (573) 333-5150
Fax: (573) 333-4580
Website:
Map and Directions
Authorized official contact:
Name: Noble, Kerry
Phone: (573) 359-3612

Health care specialties

SpecialtyCodeLicense #State
Nursing & Custodial Care Facilities / Nursing Facility/Intermediate Care Facility 313M00000X 032389 Missouri
Nursing & Custodial Care Facilities / Skilled Nursing Facility 314000000X 032389 Missouri

Profile Details

NPI number 1669493144
LBN Legal business name Pemiscot County Memorial Hospital
DBA Doing business as Caruthersville Nursing Center
Authorized official Noble, Kerry
Entity Organization
Organization subpart 1 No
Enumeration date Jul 21st, 2006
Last updated Jul 13th, 2016 - about 8 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1669493144 NPPES
Missouri MEDICAID 101459006

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