Organization Name: | CEDAR COUNTY MEMORIAL HOSPITAL |
NPI Number: | 1457474249 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | JACKIE K BOYLES (CEO) |
Mailing Address: | 1401 S Park St El Dorado Springs |
State: | MO US |
Postal Code: | 647442037 |
Phone Number: | 4178762511 |
Fax Number: | 4178763812 |
NPI Enumeration Date: | 04/09/2007 |
NPI Last Update Date: | 07/09/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 275N00000X |
License Number: | 208-45 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MO |
Taxonomy Type: | Hospital Units |
Taxonomy Classification: | Medicare Defined Swing Bed Unit |
Taxonomy Specialization: | |
Taxonomy Definition: | 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. |