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SULLIVAN COUNTY MEMORIAL HOSPITAL MILAN FAMILY PRACTICE
NPI 1619065828
Clinic/Center - Rural Health in Milan, MO

Active since October 11, 2006
210 N MARKET ST, MILAN, MO 63556(660) 265-4456 Get Directions Write a Review

NPPES record last updated: November 30, 2015. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Sullivan County Memorial Hospital Milan Family Practice NPPES

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

SULLIVAN COUNTY MEMORIAL HOSPITAL MILAN FAMILY PRACTICE (NPI 1619065828) is a healthcare organization registered as a rural health in Milan, Missouri and active in the NPI registry since October 2006. The organization lists Amy Michael, Chief Operating Officer, as its authorized official.

NPPES Registry Identity

NPI1619065828
Entity TypeOrganization
Primary Taxonomy261QR1300X
Legal Business NameSULLIVAN COUNTY MEMORIAL HOSPITAL
Location Address210 N MARKET STMilan, MO 63556-1316
Mailing Address630 W 3rd StMilan, MO 63556-1076 · (660) 265-4212 · Fax (660) 265-4898
Phone(660) 265-4456
Organization SubpartYes
Authorized OfficialAmy MichaelChief Operating Officer · (660) 265-4212
Enumeration DateOctober 11, 2006
Last NPPES UpdateNovember 30, 2015
✔ NPI 1619065828 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Rural HealthAmbulatory Health Care Facilities
Taxonomy Code261QR1300X
210 N MARKET ST, Milan, MO 63556
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Other Names 1

Doing Business AsSullivan County Memorial Hospital Milan Family Practice

Other Identifiers 3

Medicaid591720800MO
Medicaid501720809MO
Medicare OSCAR/certification268729MO

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 ›

Other Providers at the Same Location NPPES 4

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

STEPHANIE ALVERA GRANNEMAN NURSE PRACTITIONER
Nurse Practitioner (Family)
210 N MARKET ST
MILAN, MO 63556
Sullivan County (660) 265-4456
KENNETH RICHARDS D.O.
Family Medicine
210 N MARKET ST
MILAN, MO 63556
Sullivan County (660) 265-4456
DALE ESSMYER D.O.
Family Medicine
210 N MARKET ST
MILAN, MO 63556
Sullivan County (660) 265-4456
SHERRI LYNN HEDGES APRN, FNP, BC
Nurse Practitioner (Family)
210 N MARKET ST
MILAN, MO 63556
Sullivan County (660) 265-4456

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 Sullivan County Memorial Hospital's NPI number?

The NPI number for Sullivan County Memorial Hospital is 1619065828. It was assigned to this organization in the NPPES registry on October 11, 2006. The provider is doing business as Sullivan County Memorial Hospital Milan Family Practice.

Where is Sullivan County Memorial Hospital located?

Sullivan County Memorial Hospital is located at 210 N Market St, Milan, MO 63556. The listed phone number is (660) 265-4456.

What is Sullivan County Memorial Hospital's specialty?

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

What insurance does Sullivan 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 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 November 30, 2015. 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.