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PORTAGEVILLE PRIMARY CARE CENTER
NPI 1699873372
Clinic/Center - Rural Health in Portageville, MO

Active since September 20, 2006
314 E MAIN ST, PORTAGEVILLE, MO 63873(573) 379-3777(573) 379-9331 Get Directions Write a Review

NPPES record last updated: May 12, 2016. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Portageville Primary Care Center NPPES

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

PORTAGEVILLE PRIMARY CARE CENTER (NPI 1699873372) is a healthcare organization registered as a rural health in Portageville, Missouri and active in the NPI registry since September 2006. The organization lists Mark R Davis, Ceo, as its authorized official.

NPPES Registry Identity

NPI1699873372
Entity TypeOrganization
Primary Taxonomy261QR1300X
Legal Business NamePEMISCOT COUNTY MEMORIAL HOSPITAL
Location Address314 E MAIN STPortageville, MO 63873-1616
Mailing Address314 E Main StPortageville, MO 63873-1616 · (573) 379-3777 · Fax (573) 379-9331
Phone(573) 379-3777
Fax(573) 379-9331
Organization SubpartNo
Authorized OfficialMark R DavisCeo · (573) 359-3612
Enumeration DateSeptember 20, 2006
Last NPPES UpdateMay 12, 2016
✔ NPI 1699873372 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Rural HealthAmbulatory Health Care Facilities
Taxonomy Code261QR1300X
314 E MAIN ST, Portageville, MO 63873
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Other Names 1

Doing Business AsPortageville Primary Care Center

Other Identifiers 2

Medicare OSCAR/certification263421MO
Medicaid596948109MO

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield.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.

HEALTH FACILITIES REHAB SERVICES INC
Clinic/Center (Rehabilitation)
314 E MAIN ST
PORTAGEVILLE, MO 63873
New Madrid County (573) 379-2833
MR. DENNIS REED PA
Physician Assistant
314 E MAIN ST
PORTAGEVILLE, MO 63873
New Madrid County (573) 379-3777
RALPH KELLEY DO
Family Medicine (Adult Medicine)
314 E MAIN ST
PORTAGEVILLE, MO 63873
New Madrid County (573) 379-3777
SOUTHEAST MISSOURI HEALTH NETWORK
Clinic/Center (Federally Qualified Health Center (FQHC))
314 E MAIN ST
PORTAGEVILLE, MO 63873
New Madrid County (573) 379-5929

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 Pemiscot County Memorial Hospital's NPI number?

The NPI number for Pemiscot County Memorial Hospital is 1699873372. It was assigned to this organization in the NPPES registry on September 20, 2006. The provider is doing business as Portageville Primary Care Center.

Where is Pemiscot County Memorial Hospital located?

Pemiscot County Memorial Hospital is located at 314 E Main St, Portageville, MO 63873. The listed phone number is (573) 379-3777.

What is Pemiscot 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 Pemiscot County Memorial Hospital accept?

Health plans from Anthem Blue Cross and Blue Shield list Pemiscot 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 Pemiscot County Memorial Hospital was last updated on May 12, 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.