Healthcare Provider Details

I. General information

NPI: 1326964594
Provider Name (Legal Business Name): SCOTLAND COUNTY MEMORIAL HOSPITAL DBA KAHOKA MEDICAL SERVICES
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/24/2026
Last Update Date: 07/02/2026
Certification Date: 07/02/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

374 W COMMERCIAL ST
KAHOKA MO
63445-1453
US

IV. Provider business mailing address

450 E SIGLER AVE
MEMPHIS MO
63555-1714
US

V. Phone/Fax

Practice location:
  • Phone: 660-465-8513
  • Fax:
Mailing address:
  • Phone: 660-465-8513
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code282NC0060X
TaxonomyCritical Access Hospital
License Number
License Number State

VIII. Authorized Official

Name: MEAGAN E WEBER
Title or Position: CEO
Credential:
Phone: 660-465-8511