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PCMH CLINIC
NPI 1124030424
Clinic/Center - Rural Health in Bowling Green, MO

Active since August 13, 2006CLIA Certified · 4 labs
1015 W ADAMS ST, BOWLING GREEN, MO 63334(573) 324-5300(573) 324-6059 Get Directions Write a Review

NPPES record last updated: April 5, 2016. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Pcmh Clinic NPPES

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

PCMH CLINIC (NPI 1124030424) is a healthcare organization registered as a rural health in Bowling Green, Missouri and active in the NPI registry since August 2006. The organization holds 4 active CLIA laboratory certificates and lists Justin Selle, Ceo, as its authorized official.

NPPES Registry Identity

NPI1124030424
Entity TypeOrganization
Primary Taxonomy261QR1300X
Legal Business NamePIKE COUNTY MEMORIAL HOSPITAL
Location Address1015 W ADAMS STBowling Green, MO 63334-1974
Mailing Address2305 Georgia StLouisiana, MO 63353-2559 · (573) 754-4584 · Fax (573) 754-5280
Phone(573) 324-5300
Fax(573) 324-6059
Organization SubpartNo
Authorized OfficialJustin SelleCeo · (573) 754-5531
Enumeration DateAugust 13, 2006
Last NPPES UpdateApril 5, 2016
✔ NPI 1124030424 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Rural HealthAmbulatory Health Care Facilities
Taxonomy Code261QR1300X
1015 W ADAMS ST, Bowling Green, MO 63334
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Other Names 1

Doing Business AsPcmh Clinic

Other Identifiers 5

Medicare OSCAR/certification263468MO
Medicaid598209203MO
Other502663305MO · Medicare/medicaid Prof Crossover 1500
OtherCK7206MO · Railroad Medicare Pin
Medicare PIN000012300MO

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arkansas Health & Wellness, Ambetter from Home State Health, Ambetter from Sunflower Health Plan and more.Insurance ›

CLIA Laboratory Certificates CMS CLIA 4

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 26D0441169

Pike County Memorial Hospital Clinic- Louisiana 3rd Floor · Louisiana, MO
Active · expires Mar 28, 2028
CLIA Number26D0441169
Laboratory TypeRural Health Clinic
Certificate Effective DateMarch 29, 2026
Certificate Expiration DateMarch 28, 2028
Laboratory DirectorTracy M. Fite
Laboratory Phone(573) 754-4584
Laboratory LocationPike County Memorial Hospital Clinic- Louisiana 3rd Floor2305 Georgia Street, Louisiana, MO 63353
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 26D0855525

Pcmh · Bowling Green, MO
Active · expires Aug 31, 2026
CLIA Number26D0855525
Laboratory TypePhysician Office
Certificate Effective DateSeptember 1, 2024
Certificate Expiration DateAugust 31, 2026
Laboratory DirectorCasey Jennings
Laboratory Phone(573) 324-5300
Laboratory LocationPcmh1015 West Adams Street, Bowling Green, MO 63334
CLIA data matches this NPI record on: Address Phone
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 26D2110702

Pike County Memorial Hospital Dba Pcmh Clinic · Vandalia, MO
Active · expires Mar 21, 2028
CLIA Number26D2110702
Laboratory TypeRural Health Clinic
Certificate Effective DateMarch 22, 2026
Certificate Expiration DateMarch 21, 2028
Laboratory DirectorAaron M. Trone
Laboratory Phone(573) 754-4584
Laboratory LocationPike County Memorial Hospital Dba Pcmh Clinic425 North Galloway, Vandalia, MO 63382
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 26D2132148

Pike County Memorial Hospital Dba Medical Walk-In Clinic · Bowling Green, MO
Active · expires Jun 12, 2027
CLIA Number26D2132148
Laboratory TypeRural Health Clinic
Certificate Effective DateJune 13, 2025
Certificate Expiration DateJune 12, 2027
Laboratory DirectorAndrew Milian
Laboratory Phone(573) 324-2567
Laboratory LocationPike County Memorial Hospital Dba Medical Walk-In Clinic1420 S Business 61, Bowling Green, MO 63334
CLIA data matches this NPI record on: Name
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 6

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

DIALYSIS CLINIC INC.
Clinic/Center (End-Stage Renal Disease (ESRD) Treatment)
1015 W ADAMS ST
BOWLING GREEN, MO 63334
Pike County (573) 324-5300
DEBRA KAY BECKMAN FAMILY NURSE PRACT
Nurse Practitioner (Family)
1015 W ADAMS ST
BOWLING GREEN, MO 63334
Pike County (573) 324-5300
MR. ERIC PAUL SCHAFFER LAT, ATC, PTA
Specialist/Technologist (Athletic Trainer)
1015 W ADAMS ST
BOWLING GREEN, MO 63334
Pike County (573) 324-3105
MRS. EMILY GRACE JENSEN PA-C
Physician Assistant (Medical)
1015 W ADAMS ST
BOWLING GREEN, MO 63334
Pike County (573) 324-5300
DR. HOWARD JAY SCHNEIDER M.D., DDS
Family Medicine
1015 W ADAMS ST
BOWLING GREEN, MO 63334
Pike County (573) 754-4584
PIKE COUNTY MEMORIAL HOSPITAL
Family Medicine
1015 W ADAMS ST
BOWLING GREEN, MO 63334
Pike County (573) 324-5300

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 Pike County Memorial Hospital's NPI number?

The NPI number for Pike County Memorial Hospital is 1124030424. It was assigned to this organization in the NPPES registry on August 13, 2006. The provider is doing business as Pcmh Clinic.

Where is Pike County Memorial Hospital located?

Pike County Memorial Hospital is located at 1015 W Adams St, Bowling Green, MO 63334. The listed phone number is (573) 324-5300.

What is Pike County Memorial Hospital's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Rural Health, with taxonomy code 261QR1300X.

Does Pike County Memorial Hospital hold CLIA laboratory certificates?

Yes. 4 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.

What insurance does Pike County Memorial Hospital accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Arkansas Health & Wellness, Ambetter from Home State Health and Ambetter from Sunflower Health Plan and 3 other insurers list Pike 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 Pike County Memorial Hospital was last updated on April 5, 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.