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BOOTHEEL PRIMARY CARE-CARUTHERSVILLE
NPI 1841463551
Clinic/Center - Rural Health in Caruthersville, MO

Active since April 03, 2008CLIA 26D0442259 · Certificate of Compliance
1502 WARD AVE, CARUTHERSVILLE, MO 63830(573) 333-4244 Get Directions Write a Review

NPPES record last updated: August 7, 2024. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Bootheel Primary Care-caruthersville NPPES

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

BOOTHEEL PRIMARY CARE-CARUTHERSVILLE (NPI 1841463551) is a healthcare organization registered as a rural health in Caruthersville, Missouri and active in the NPI registry since April 2008. The organization holds a CLIA Certificate of Compliance certificate valid through April 5, 2027 and lists Lauren Turnage, Revenue Cycle Director, as its authorized official.

NPPES Registry Identity

NPI1841463551
Entity TypeOrganization
Primary Taxonomy261QR1300X
Legal Business NamePEMISCOT COUNTY MEMORIAL HOSPITAL
Location Address1502 WARD AVECaruthersville, MO 63830-2571
Mailing Address946 E Reed St, P O Box 442Hayti, MO 63851-1243 · (573) 359-1372 · Fax (573) 359-3608
Phone(573) 333-4244
Organization SubpartNo
Authorized OfficialLauren TurnageRevenue Cycle Director · (573) 359-3498
Enumeration DateApril 3, 2008
Last NPPES UpdateAugust 7, 2024
NPPES CertifiedAugust 7, 2024
✔ NPI 1841463551 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Rural HealthAmbulatory Health Care Facilities
Taxonomy Code261QR1300X
1502 WARD AVE, Caruthersville, MO 63830
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Other Names 1

Doing Business AsBootheel Primary Care-caruthersville

Other Identifiers 1

Medicaid1841463551MO

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 ›

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 26D0442259

Pemiscot Memorial Health Systems · Hayti, MO
Active · expires Apr 5, 2027
CLIA Number26D0442259
Laboratory TypeHospital
Certificate Effective DateApril 6, 2025
Certificate Expiration DateApril 5, 2027
Laboratory DirectorRussell D. Deidiker
Laboratory Phone(573) 359-3471
Laboratory LocationPemiscot Memorial Health Systems946 E Reed St, Hayti, MO 63851
CLIA data matches this NPI record on: Address
This certificate is issued to a laboratory after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements.

Other Providers at the Same Location NPPES

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

HAYTI MEDICAL CLINIC, INC
Clinic/Center (Rural Health)
1502 WARD AVE
CARUTHERSVILLE, MO 63830
Pemiscot County (573) 333-4244

Frequently Asked Questions

What is PEMISCOT COUNTY MEMORIAL HOSPITAL's NPI number?

The NPI number assigned to this healthcare provider is 1841463551, enumerated as an "organization" on April 03, 2008.

Where is the provider located?

The provider is located at 1502 WARD AVE CARUTHERSVILLE, MO 63830 and the phone number is (573) 333-4244.

What is the provider's specialty?

Clinic/Center with taxonomy code 261QR1300X and a focus in Rural Health.

What insurance does PEMISCOT COUNTY MEMORIAL HOSPITAL accept?

The provider might be accepting Accepts: Ambetter from Arkansas Health & Wellness, Ambetter. Please consult your insurance carrier or call the provider to verify.