1. Home
  2. Directory
  3. Missouri
  4. Salem
  5. Ambulance
  6. NPI Profile

SALEM MEMORIAL HOSPITAL
NPI 1053382382
Ambulance in Salem, MO

Active since January 26, 2006CLIA 26D0046398 · Certificate of Compliance
35629 HIGHWAY 72, 35629 HIGHWAY 72, SALEM, MO 65560(573) 729-6626 Get Directions Write a Review

NPPES record last updated: April 6, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Salem Memorial Hospital NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SALEM MEMORIAL HOSPITAL (NPI 1053382382) is a healthcare organization registered as an ambulance in Salem, Missouri and active in the NPI registry since January 2006. The organization holds a CLIA Certificate of Compliance certificate valid through February 13, 2028 and lists Brooke Bollman, Ceo, as its authorized official.

NPPES Registry Identity

NPI1053382382
Entity TypeOrganization
Primary Taxonomy341600000X
Legal Business NameSALEM MEMORIAL HOSPITAL
Location Address35629 HIGHWAY 72, 35629 HIGHWAY 72Salem, MO 65560-7217
Mailing AddressPo Box 774, 35629 Highway 72Salem, MO 65560-0774 · (573) 729-6626 · Fax (573) 729-6502
Phone(573) 729-6626
Organization SubpartNo
Authorized OfficialBrooke BollmanCeo · (573) 739-1927
Enumeration DateJanuary 26, 2006
Last NPPES UpdateApril 6, 2026
NPPES CertifiedApril 6, 2026
✔ NPI 1053382382 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyAmbulanceTransportation Services
Taxonomy Code341600000X
License✔ Licensed in MO · 25234
Definition
An emergency vehicle used for transporting patients to a health care facility after injury or illness. Types of ambulances used in the United States include ground (surface) ambulance, rotor-wing (helicopter), and fixed-wing aircraft (airplane).
35629 HIGHWAY 72, Salem, MO 65560
Open in Google Maps ↗

Other Identifiers 1

Medicaid800570301MO

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Compliance 26D0046398

Salem Memorial District Hospital · Salem, MO
Active · expires Feb 13, 2028
CLIA Number26D0046398
Laboratory TypeHospital
Certificate Effective DateFebruary 14, 2026
Certificate Expiration DateFebruary 13, 2028
Laboratory DirectorThomas B. Shaw
Laboratory Phone(573) 729-6626
Laboratory LocationSalem Memorial District Hospital35629 Hwy 72, Salem, MO 65560
CLIA data matches this NPI record on: Address Phone
This certificate is issued to a laboratory after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements.

Other Providers at the Same Location NPPES 15

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

SALEM MEMORIAL HOSPITAL
Medicare Defined Swing Bed Unit
35629 HIGHWAY 72
SALEM, MO 65560
Dent County (573) 729-6626
SALEM MEMORIAL HOSPITAL
Nursing Facility/Intermediate Care Facility
35629 HIGHWAY 72
SALEM, MO 65560
Dent County (573) 729-6626
MR. RALPH FORD MD
General Practice
35629 HIGHWAY 72
SALEM, MO 65560
Dent County (573) 729-6626
SALEM MEMORIAL HOSPITAL
Clinic/Center (End-Stage Renal Disease (ESRD) Treatment)
35629 HIGHWAY 72
SALEM, MO 65560
Dent County (573) 729-6626
RADEX, INC
Radiologic Technologist
35629 HIGHWAY 72
SALEM, MO 65560
Dent County (417) 886-7814
DR. MORRIS SCOTT GLOVER DO
Family Medicine
35629 HIGHWAY 72
SALEM, MO 65560
Dent County (573) 729-6626
SALEM MEMORIAL HOSPITAL
Emergency Medicine
35629 HIGHWAY 72
SALEM, MO 65560
Dent County (573) 729-6626
MRS. NICOLE L HANCOCK RD
Dietitian, Registered
35629 HIGHWAY 72
SALEM, MO 65560
Dent County (573) 729-5917

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Salem Memorial Hospital's NPI number?

The NPI number for Salem Memorial Hospital is 1053382382. It was assigned to this organization in the NPPES registry on January 26, 2006.

Where is Salem Memorial Hospital located?

Salem Memorial Hospital is located at 35629 Highway 72 35629 Highway 72, Salem, MO 65560. The listed phone number is (573) 729-6626.

What is Salem Memorial Hospital's specialty?

The primary specialty registered for this NPI is Ambulance with taxonomy code 341600000X.

Does Salem Memorial Hospital hold a CLIA laboratory certificate?

Yes. A Certificate of Compliance (number 26D0046398) is associated with this NPI, valid through February 13, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Salem Memorial Hospital was last updated on April 6, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.