SULLIVAN COUNTY MEMORIAL HOSPITAL
NPI 1114067832
General Acute Care Hospital - Critical Access in Milan, MO
About Sullivan County Memorial Hospital NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
SULLIVAN COUNTY MEMORIAL HOSPITAL (NPI 1114067832) is a healthcare organization registered as a critical access in Milan, Missouri and active in the NPI registry since February 2007. The organization lists Amy Michael, Chief Operatingofficer, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 2
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Sullivan County Memorial Hospital is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
20Medicare enrollment records show 20 clinicians reassign Medicare billing to Sullivan County Memorial Hospital, which bills Medicare for the services they deliver. Of these, 4 practice at this address and 6 within 10 miles. They are listed nearest first.
Clinicians by Medicare Specialty 8
Clinicians, nearest first (20)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Hospital Quality Ratings CMS Care Compare
Quality and patient-experience ratings for Sullivan County Memorial Hospital (CMS certification number 261306), from CMS Care Compare.
Sullivan County Memorial Hospital
Critical Access Hospitals · Milan, MOComplications & Deaths 4
Unplanned Hospital Visits 6
Timely & Effective Care 5
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 Sullivan County Memorial Hospital's NPI number?
The NPI number for Sullivan County Memorial Hospital is 1114067832. It was assigned to this organization in the NPPES registry on February 8, 2007.
Where is Sullivan County Memorial Hospital located?
Sullivan County Memorial Hospital is located at 630 W 3rd St, Milan, MO 63556. The listed phone number is (660) 265-4212.
What is Sullivan County Memorial Hospital's specialty?
The primary specialty registered for this NPI is General Acute Care Hospital, specializing in Critical Access, with taxonomy code 282NC0060X.
Is Sullivan County Memorial Hospital enrolled in Medicare?
Yes. Sullivan County Memorial Hospital is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Sullivan County Memorial Hospital?
According to the CMS Revalidation Reassignment List (October 2026 release), 20 clinicians in 8 Medicare specialties reassign their Medicare billing to Sullivan County Memorial Hospital. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. The largest specialties are Nurse Practitioner (9), Family Practice (5) and Cardiovascular Disease (Cardiology) (1). Of these, 4 practice at this address and 6 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Is Sullivan County Memorial Hospital a Medicare-certified hospital?
Yes. Sullivan County Memorial Hospital is a Medicare-certified hospital (Critical Access Hospitals). The hospital provides emergency services.
What insurance does Sullivan County Memorial Hospital accept?
Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Arkansas Health & Wellness, Ambetter from Sunflower Health Plan and Ambetter of Oklahoma and 1 other insurer list Sullivan County Memorial Hospital as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
When was this NPI record last updated?
The NPPES record for Sullivan County Memorial Hospital was last updated on June 1, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 years 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.
# Sullivan County Memorial Hospital · NPI 1114067832
Critical Access organization in Milan, Missouri. Organization record, active in the CMS NPPES registry since February 8, 2007.
## Identity
- **NPI:** 1114067832 (Entity type: Organization)
- **Enumerated:** February 8, 2007
- **Primary specialty:** General Acute Care Hospital - Critical Access · taxonomy 282NC0060X
- **Organization subpart:** No
- **Authorized official:** Amy Michael, CHIEF OPERATINGOFFICER
## Practice location
- **Address:** 630 W 3RD ST, Milan, MO 63556-1076
- **Phone:** (660) 265-4212 · **Fax:** (660) 265-4898
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 20 clinicians in 8 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Nurse Practitioner (9), Family Practice (5), Cardiovascular Disease (Cardiology) (1); 4 practice at this address and 6 within 10 miles · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** June 1, 2012
- **Other identifiers:** Medicare ID-Type Unspecified 261306; Medicaid 010324804 (MO)
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Source: [NPI Profile](https://npiprofile.com/npi/1114067832) · Data from the CMS NPPES public registry.