PCMH CLINIC
NPI 1124030424
Clinic/Center - Rural Health in Bowling Green, MO
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
Specialties & Licenses
Other Names 1
Other Identifiers 5
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)
Pcmh Clinic is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
29Medicare enrollment records show 29 clinicians reassign Medicare billing to Pcmh Clinic, which bills Medicare for the services they deliver. Of these, 5 practice within 10 miles. Listed here are the 20 practicing nearest to this location.
Clinicians by Medicare Specialty 9
Nearest to this location (20)
See all 29Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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, MOCertificate of Waiver 26D0855525
Pcmh · Bowling Green, MOCertificate of Waiver 26D2110702
Pike County Memorial Hospital Dba Pcmh Clinic · Vandalia, MOCertificate of Waiver 26D2132148
Pike County Memorial Hospital Dba Medical Walk-In Clinic · Bowling Green, MOFrequently 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.
Is Pike County Memorial Hospital enrolled in Medicare?
Yes. Pike County Memorial Hospital is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Pike County Memorial Hospital?
According to the CMS Revalidation Reassignment List (October 2026 release), 29 clinicians in 9 Medicare specialties reassign their Medicare billing to Pike 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 (11), Family Practice (5) and Rheumatology (4). Of these, 5 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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 Sunflower Health Plan and Ambetter of Oklahoma and 2 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.
# Pcmh Clinic · NPI 1124030424
Rural Health organization in Bowling Green, Missouri. Organization record, active in the CMS NPPES registry since August 13, 2006.
## Identity
- **NPI:** 1124030424 (Entity type: Organization)
- **Enumerated:** August 13, 2006
- **Primary specialty:** Clinic/Center - Rural Health · taxonomy 261QR1300X
- **Legal business name:** Pike County Memorial Hospital
- **Organization subpart:** No
- **Authorized official:** Justin Selle, CEO
## Practice location
- **Address:** 1015 W ADAMS ST, Bowling Green, MO 63334-1974
- **Phone:** (573) 324-5300 · **Fax:** (573) 324-6059
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 29 clinicians in 9 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Nurse Practitioner (11), Family Practice (5), Rheumatology (4); 5 practice within 10 miles; [full list](https://npiprofile.com/npi/1124030424/clinicians) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** April 5, 2016
- **Other identifiers:** Medicare OSCAR/certification 263468 (MO); Medicaid 598209203 (MO); Other 502663305 (MO); and 2 more
- **CLIA laboratory certificates:** 4 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1124030424) · Data from the CMS NPPES public registry.