SULLIVAN COUNTY MEMORIAL HOSPITAL
NPI 1407678857
Pharmacy - Community/Retail Pharmacy 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 1407678857), doing business as Sullivan County Pharmacy, is a healthcare organization registered as a community/retail pharmacy in Milan, Missouri and active in the NPI registry since October 2024. The organization holds a CLIA Certificate of Compliance certificate valid through June 24, 2028 and lists Amy Michael, Coo, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Names 1
Accepted Insurance
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 26D0441688
Sullivan County Memorial Hospital · Milan, 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 Sullivan County Memorial Hospital's NPI number?
The NPI number for Sullivan County Memorial Hospital is 1407678857. It was assigned to this organization in the NPPES registry on October 28, 2024. The provider is doing business as Sullivan County Pharmacy.
Where is Sullivan County Memorial Hospital located?
Sullivan County Memorial Hospital is located at 511 W 3rd St, Milan, MO 63556. The listed phone number is (660) 265-1611.
What is Sullivan County Memorial Hospital's specialty?
The primary specialty registered for this NPI is Pharmacy, specializing in Community/Retail Pharmacy, with taxonomy code 3336C0003X.
Does Sullivan County Memorial Hospital hold a CLIA laboratory certificate?
Yes. A Certificate of Compliance (number 26D0441688) is associated with this NPI, valid through June 24, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.
What insurance does Sullivan County Memorial Hospital accept?
Health plans from Alliant Health Plans, Inc., Ambetter Health, Ambetter Health of Delaware, Ambetter from Absolute Total Care and Ambetter from Arizona Complete Health and 48 other insurers 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 October 28, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 22 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.
# Sullivan County Memorial Hospital · NPI 1407678857
Community/Retail Pharmacy organization in Milan, Missouri. Organization record, active in the CMS NPPES registry since October 28, 2024.
## Identity
- **NPI:** 1407678857 (Entity type: Organization)
- **Enumerated:** October 28, 2024
- **Primary specialty:** Pharmacy - Community/Retail Pharmacy · taxonomy 3336C0003X
- **Also known as:** Sullivan County Pharmacy (Doing Business As)
- **Organization subpart:** Yes (part of Sullivan County Memorial Hospital)
- **Authorized official:** Amy Michael, COO
## Practice location
- **Address:** 511 W 3RD ST, Milan, MO 63556
- **Phone:** (660) 265-1611
## Record status
- **NPPES last updated:** October 28, 2024
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1407678857) · Data from the CMS NPPES public registry.