BOOTHEEL PRIMARY CARE NEW MADRID
NPI 1932372646
Clinic/Center - Rural Health in New Madrid, MO

Active since April 03, 2008
555 VIRGINIA AVE, NEW MADRID, MO 63869(573) 748-3107(573) 748-3112 Get Directions Write a Review

NPPES record last updated: June 22, 2018. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Bootheel Primary Care New Madrid NPPES

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

BOOTHEEL PRIMARY CARE NEW MADRID (NPI 1932372646) is a healthcare organization registered as a rural health in New Madrid, Missouri and active in the NPI registry since April 2008. The organization maintains a secondary practice location in Hayti and lists Cathy Lacey, Credentialing Director, as its authorized official.

NPPES Registry Identity

NPI1932372646
Entity TypeOrganization
Primary Taxonomy261QR1300X
Legal Business NamePEMISCOT COUNTY MEMORIAL HOSPITAL
Location Address555 VIRGINIA AVENew Madrid, MO 63869
Mailing AddressPo Box 442Hayti, MO 63851-0442 · (573) 359-3659 · Fax (573) 359-3608
Fax(573) 748-3112
Organization SubpartYes
Authorized OfficialCathy LaceyCredentialing Director · (573) 359-3659
Enumeration DateApril 3, 2008
Last NPPES UpdateJune 22, 2018
NPI 1932372646 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyClinic/Center · Rural HealthAmbulatory Health Care Facilities
Taxonomy Code261QR1300X
555 VIRGINIA AVE, New Madrid, MO 63869

Other Names 1

Doing Business AsBootheel Primary Care New Madrid

Secondary Practice Location 1

Location 1310 E Main StHayti, MO 63851-1639 · Phone (573) 359-2019

Other Identifiers 1

Medicaid597723402MO

Accepted Insurance

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 1932372646. It was assigned to this organization in the NPPES registry on April 3, 2008. The provider is doing business as Bootheel Primary Care New Madrid.

Where is Pemiscot County Memorial Hospital located?

Pemiscot County Memorial Hospital is located at 555 Virginia Ave, New Madrid, MO 63869. The listed phone number is (573) 748-3107.

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 June 22, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.