Healthcare Provider Details

I. General information

NPI: 1083624647
Provider Name (Legal Business Name): SCOTLAND COUNTY MEMORIAL HOSPITAL
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/08/2006
Last Update Date: 06/05/2025
Certification Date: 06/05/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

450 E SIGLER AVE
MEMPHIS MO
63555-1726
US

IV. Provider business mailing address

450 E SIGLER AVE
MEMPHIS MO
63555-1726
US

V. Phone/Fax

Practice location:
  • Phone: 660-465-8511
  • Fax: 660-465-2956
Mailing address:
  • Phone: 660-465-8511
  • Fax: 660-465-2956

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code282NC0060X
TaxonomyCritical Access Hospital
License Number363-17
License Number StateMO

VIII. Authorized Official

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