Healthcare Provider Details

I. General information

NPI: 1245220052
Provider Name (Legal Business Name): RAY COUNTY MEMORIAL HOSPITAL
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/24/2005
Last Update Date: 05/14/2025
Certification Date: 05/14/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

904 WOLLARD BLVD
RICHMOND MO
64085-2229
US

IV. Provider business mailing address

904 WOLLARD BLVD
RICHMOND MO
64085-2229
US

V. Phone/Fax

Practice location:
  • Phone: 816-470-5432
  • Fax: 816-470-8382
Mailing address:
  • Phone: 816-470-5432
  • Fax: 816-470-8382

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code261QC0050X
TaxonomyCritical Access Hospital Clinic/Center
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code275N00000X
TaxonomyMedicare Defined Swing Bed Hospital Unit
License Number
License Number State
# 3
Primary TaxonomyY
Taxonomy Code282NC0060X
TaxonomyCritical Access Hospital
License Number
License Number State

VIII. Authorized Official

Name: CYNTHIA J THORNBERRY
Title or Position: DIRECTOR OF REVENUE CYCLE
Credential:
Phone: 816-470-7320