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PEMISCOT MEMORIAL HEALTH SYSTEM
NPI 1114379153
General Acute Care Hospital - Rural in Hayti, MO

Active since July 01, 2016CLIA Certified · 2 labs
946 E REED ST, HAYTI, MO 63851(573) 359-1372 Get Directions Write a Review

NPPES record last updated: July 1, 2016. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Pemiscot Memorial Health System NPPES

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

PEMISCOT MEMORIAL HEALTH SYSTEM (NPI 1114379153) is a healthcare organization registered as a rural in Hayti, Missouri and active in the NPI registry since July 2016. The organization holds 2 active CLIA laboratory certificates and lists Linda Tai, Physician Assistant, as its authorized official.

NPPES Registry Identity

NPI1114379153
Entity TypeOrganization
Primary Taxonomy282NR1301X
Legal Business NamePEMISCOT MEMORIAL HEALTH SYSTEM
Location Address946 E REED STHayti, MO 63851-1243
Mailing Address946 E Reed StHayti, MO 63851-1243 · (573) 359-1372
Phone(573) 359-1372
Organization SubpartNo
Authorized OfficialLinda TaiPhysician Assistant · (573) 359-1372
Enumeration DateJuly 1, 2016
✔ NPI 1114379153 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyGeneral Acute Care Hospital · RuralHospitals
Taxonomy Code282NR1301X
License✔ Licensed in MO · 2016016697
946 E REED ST, Hayti, MO 63851
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CLIA Laboratory Certificates CMS CLIA 2

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 Waiver 26D2193245

Pemiscot Memorial Health Systems Long Term Care · Hayti, MO
Active · expires Sep 17, 2026
CLIA Number26D2193245
Laboratory TypeSkilled Nursing Facility/Nursing Facility
Certificate Effective DateSeptember 18, 2024
Certificate Expiration DateSeptember 17, 2026
Laboratory DirectorErica Scheffer
Laboratory Phone(573) 359-1372
Laboratory LocationPemiscot Memorial Health Systems Long Term Care946 East Reed Street, Hayti, MO 63851
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Compliance 26D0442259

Pemiscot Memorial Health Systems · Hayti, MO
Active · expires Apr 5, 2027
CLIA Number26D0442259
Laboratory TypeHospital
Certificate Effective DateApril 6, 2025
Certificate Expiration DateApril 5, 2027
Laboratory DirectorRussell D. Deidiker
Laboratory Phone(573) 359-3471
Laboratory LocationPemiscot Memorial Health Systems946 E Reed St, Hayti, MO 63851
CLIA data matches this NPI record on: Address Name
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 18

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

LARA HUFFMAN M.D.
Psychiatry & Neurology (Psychiatry)
946 E REED ST
HAYTI, MO 63851
Pemiscot County (573) 359-1372
HAZEL RADIOLOGY, LLC
Radiology (Diagnostic Radiology)
946 E REED ST, RADIOLOGY DEPARTMENT
HAYTI, MO 63851
Pemiscot County (573) 359-3464
MRS. JORDAN BROTZ FNP
Nurse Practitioner (Family)
946 E REED ST
HAYTI, MO 63851
Pemiscot County (573) 359-1372
FAAIZA ARSHAD
Physician Assistant
946 E REED ST
HAYTI, MO 63851
Pemiscot County (573) 359-1372
DR. DAVID KETCHUM II PHARM.D.
Pharmacist
946 E REED ST
HAYTI, MO 63851
Pemiscot County (573) 359-1372
PEMISCOT COUNTY MEMORIAL HOSPITAL
General Acute Care Hospital (Rural)
946 E REED ST
HAYTI, MO 63851
Pemiscot County (573) 359-1372
PEMISCOT COUNTY MEMORIAL HOSPITAL
General Acute Care Hospital
946 E REED ST
HAYTI, MO 63851
Pemiscot County (573) 359-3623
PAFFORD EMERGENCY MEDICAL SERVICES OF MISSOURI, INC.
Ambulance (Land Transport)
946 E REED ST
HAYTI, MO 63851
Pemiscot County (870) 777-7660

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 Pemiscot Memorial Health System's NPI number?

The NPI number for Pemiscot Memorial Health System is 1114379153. It was assigned to this organization in the NPPES registry on July 1, 2016.

Where is Pemiscot Memorial Health System located?

Pemiscot Memorial Health System is located at 946 E Reed St, Hayti, MO 63851. The listed phone number is (573) 359-1372.

What is Pemiscot Memorial Health System's specialty?

The primary specialty registered for this NPI is General Acute Care Hospital, specializing in Rural, with taxonomy code 282NR1301X.

Does Pemiscot Memorial Health System hold CLIA laboratory certificates?

Yes. 2 active CLIA laboratory certificates are associated with this NPI under the federal Clinical Laboratory Improvement Amendments program. The certificates are listed in the CLIA Laboratory Certificates section above.

When was this NPI record last updated?

The NPPES record for Pemiscot Memorial Health System was last updated on July 1, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.