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PCMH CLINIC
NPI 1437265311
Clinic/Center - Rural Health in Louisiana, MO

Active since August 22, 2006
2305 GEORGIA ST, LOUISIANA, MO 63353(573) 754-4584(573) 754-5280 Get Directions Write a Review

NPPES record last updated: April 5, 2016. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Pcmh Clinic NPPES

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

PCMH CLINIC (NPI 1437265311) is a healthcare organization registered as a rural health in Louisiana, Missouri and active in the NPI registry since August 2006. The organization lists Justin Selle, Ceo, as its authorized official.

NPPES Registry Identity

NPI1437265311
Entity TypeOrganization
Primary Taxonomy261QR1300X
Legal Business NamePIKE COUNTY MEMORIAL HOSPITAL
Location Address2305 GEORGIA STLouisiana, MO 63353-2559
Mailing Address2305 Georgia StLouisiana, MO 63353-2559 · (573) 754-4584 · Fax (573) 754-5280
Phone(573) 754-4584
Fax(573) 754-5280
Organization SubpartNo
Authorized OfficialJustin SelleCeo · (573) 754-5531
Enumeration DateAugust 22, 2006
Last NPPES UpdateApril 5, 2016
✔ NPI 1437265311 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Rural HealthAmbulatory Health Care Facilities
Taxonomy Code261QR1300X
2305 GEORGIA ST, Louisiana, MO 63353
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Other Names 1

Doing Business AsPcmh Clinic

Other Identifiers 5

Other502663305MO · Medicaid Fee-for-service
OtherCK7206MO · Railroad Medicare Pn
Medicare PIN000011701MO
Medicare OSCAR/certification263460MO
Medicaid598041002MO

Accepted Insurance

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

28

Medicare enrollment records show 28 clinicians reassign Medicare billing to Pcmh Clinic, which bills Medicare for the services they deliver. Of these, 3 practice within 10 miles. Listed here are the 20 practicing nearest to this location.

Clinicians by Medicare Specialty 16

Nurse Practitioner6
Rheumatology5
Family Practice4
Anesthesiology1
Clinical Social Worker1
Colorectal Surgery (Proctology)1
Gastroenterology1
General Practice1
8 other specialties8

Nearest to this location (20)

See all 28
Erin Anderson, FNP-C
Nurse Practitioner
NPI 1932742012
2305 GEORGIA ST
Louisiana, MO 63353
(573) 754-4584
✔ PECOS✔ Accepts MedicareSame address
Tarrah Grady, LCSW
Clinical Social Worker
NPI 1184955700
2305 GEORGIA ST
Louisiana, MO 63353
(573) 754-4584
✔ PECOS✔ Accepts MedicareSame address
Casey Jennings, D. O.
Family Practice
NPI 1033300488
2305 GEORGIA ST
Louisiana, MO 63353
(573) 754-4584
✔ PECOS✔ Accepts MedicareSame address
Michael Whitlock, D.O.
Family Practice
NPI 1760490585
1420 S BUSINESS 61 STE DEF
Bowling Green, MO 63334
(573) 324-5562
✔ PECOS✔ Accepts Medicare10 mi
Patricia Rose-Liana, FNP
Nurse Practitioner
NPI 1124141114
425 N GALLOWAY RD
Vandalia, MO 63382
(573) 594-2111
✔ PECOS✔ Accepts Medicare25 mi
Aaron Trone, M.D.
General Practice
NPI 1265403869
425 N GALLOWAY RD
Vandalia, MO 63382
(573) 594-2111
✔ PECOS✔ Accepts Medicare25 mi
Andrew Milian, MD
Family Practice
NPI 1265090245
612 N 11TH ST
Quincy, IL 62301
(217) 224-9484
✔ PECOS✔ Accepts Medicare38 mi
Isidoros Vardaros, MD
Hospitalist
NPI 1841509304
1025 MAINE ST
Quincy, IL 62301
(217) 222-6550
✔ PECOS✔ Accepts Medicare38 mi
Paul Conrad, MD FACS
Otolaryngology
NPI 1528028214
1025 MAINE ST
Quincy, IL 62301
(217) 222-6550
✔ PECOS✔ Accepts Medicare38 mi
Matthew Knudson, M.D.
Urology
NPI 1962609768
1025 MAINE ST
Quincy, IL 62301
(217) 222-6550
✔ PECOS✔ Accepts Medicare38 mi
Hrishikesh Ghanekar, MD
Nephrology
NPI 1629041686
1025 MAINE ST
Quincy, IL 62301
(217) 222-6550
✔ PECOS✔ Accepts Medicare38 mi
Austin Hake, M.D.
Neurology
NPI 1003077389
1118 HAMPSHIRE ST
Quincy, IL 62301
(217) 222-6550
✔ PECOS✔ Accepts Medicare38 mi
Amanda Holcomb, DPM
Podiatry
NPI 1255954632
1118 HAMPSHIRE ST
Quincy, IL 62301
(217) 222-6550
✔ PECOS✔ Accepts Medicare38 mi
Kartikeya Tripathi, M.D.
Gastroenterology
NPI 1003269200
1118 HAMPSHIRE ST
Quincy, IL 62301
(217) 222-6550
✔ PECOS✔ Accepts Medicare38 mi
Harsha Polavarapu, M.D.
Colorectal Surgery (Proctology)
NPI 1982864476
927 BROADWAY ST SUITE 130
Quincy, IL 62301
(217) 224-6423
✔ PECOS✔ Accepts Medicare39 mi
Lisa Schriewer Clervi, PSYCHOLOGIST
Psychologist Billing Independently
NPI 1952475519
207 E JACKSON ST
Mexico, MO 65265
(573) 581-3660
48 mi
Jennifer Hunn, NP
Nurse Practitioner
NPI 1497101133
201 BJC SAINT PETERS DR SUITE 100
Saint Peters, MO 63376
(636) 916-8228
✔ PECOS✔ Accepts Medicare50 mi
Matthew Melander, DO
Orthopedic Surgery
NPI 1174561211
9323 PHOENIX VILLAGE PKWY
O Fallon, MO 63368
(636) 561-5030
✔ PECOS✔ Accepts Medicare51 mi
Vivek Manchanda, MD
Anesthesiology
NPI 1083729941
4122 KEATON CROSSING BLVD SUITE 102
O Fallon, MO 63368
(636) 329-9077
✔ PECOS✔ Accepts Medicare53 mi
Umar Daud, MD
Rheumatology
NPI 1053388942
6400 CLAYTON RD SUITE 110
Saint Louis, MO 63117
(314) 645-4434
✔ PECOS✔ Accepts Medicare69 mi
See all 28 clinicians

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 1437265311. It was assigned to this organization in the NPPES registry on August 22, 2006. The provider is doing business as Pcmh Clinic.

Where is Pike County Memorial Hospital located?

Pike County Memorial Hospital is located at 2305 Georgia St, Louisiana, MO 63353. The listed phone number is (573) 754-4584.

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), 28 clinicians in 16 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 (6), Rheumatology (5) and Family Practice (4). Of these, 3 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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.