NORTHEAST REGIONAL MEDICAL CENTER
NPI 1932172293
Medicare Defined Swing Bed Unit in Kirksville, MO

Q: What is Kirksville Missouri Hospital Company, LLC's specialty?

The primary specialty registered for this NPI is Medicare Defined Swing Bed Unit with taxonomy code 275N00000X.

Active since February 08, 2006

315 S OSTEOPATHY, KIRKSVILLE, MO 63501(660) 785-1000 Get Directions Write a Review

NPPES record last updated: April 8, 2021. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Apr 8, 2021, Mar 9, 2018 (2 updates tracked since 2018).

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About Northeast Regional Medical Center NPPES

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

NORTHEAST REGIONAL MEDICAL CENTER (NPI 1932172293) is a healthcare organization registered as a medicare defined swing bed unit in Kirksville, Missouri and active in the NPI registry since February 2006. The organization lists Paula M Lalor, Director/delegated Official, as its authorized official.

NPPES Registry Identity

NPI1932172293

Entity TypeOrganization

Primary Taxonomy275N00000X

Legal Business NameKIRKSVILLE MISSOURI HOSPITAL COMPANY, LLC

Location Address315 S OSTEOPATHYKirksville, MO 63501-6401

Mailing AddressPo Box 503525Saint Louis, MO 63150-3525

Phone(660) 785-1000

Organization SubpartYes

Authorized OfficialPaula M LalorDirector/delegated Official · (629) 215-3953

Enumeration DateFebruary 8, 2006

Last NPPES UpdateApril 8, 20212 updates tracked since enumeration

NPPES CertifiedApril 8, 2021

✔ NPI 1932172293 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyMedicare Defined Swing Bed UnitHospital Units

Taxonomy Code275N00000X

License✔ Licensed in MO · 462-4

Definition

A unit of a hospital that has a Medicare provider agreement and has been granted approval from HCFA to provide post-hospital extended care services and be reimbursed as a swing-bed unit.

315 S OSTEOPATHY, Kirksville, MO 63501

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Other Names 1

Doing Business AsNortheast Regional Medical Center

Other Identifiers 2

Other10104Bcbs

Medicaid010601201MO

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 revalidation status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Northeast Regional Medical Center is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Revalidation Due Date

Revalidation due by November 30, 2026

Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.

StateEnrollment IDDue date

StateMissouriEnrollment IDO20080327000559Part A · HospitalDue dateNovember 30, 2026

Source: CMS Revalidation Due Date List, October 2026 release.

Other Providers at the Same Location NPPES 5

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

KIRKSVILLE MISSOURI HOSPITAL COMPANY, LLC

General Acute Care Hospital