MEDICARE: RAY COUNTY MEMORIAL HOSPITAL

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy
1	261QC0050X	Critical Access Hospital Clinic/Center
2	275N00000X	Medicare Defined Swing Bed Hospital Unit
3	282NC0060X	Critical Access Hospital

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	01514018	OTHER	BLUE CROSS-1500
3	114311	OTHER	PREFERRED CARE HEALTHLINK
4	90267015	OTHER	SNF
5	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
6	90052014	OTHER	BLUE CROSS -UB
7	6350600	OTHER	AETNA

General Provider Information

NPI Number	:	1245220052
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	RAY COUNTY MEMORIAL HOSPITAL

Provider Business Mailing Address
First Line	:	904 WOLLARD BLVD
Second Line	:
City	:	RICHMOND
State	:	MO
Zip	:	64085-2229
Country	:	US
Telephone Number	:	816-470-5432
Fax Number	:	816-470-8382

Provider Business Practice Location Address
First Line	:	904 WOLLARD BLVD
Second Line	:
City	:	RICHMOND
State	:	MO
Zip	:	64085-2229
Country	:	US
Telephone Number	:	816-470-5432
Fax Number	:	816-470-8382

Authorized Official
Title or Position	:	DIRECTOR OF REVENUE CYCLE
Name	:	CYNTHIA J THORNBERRY
Credential	:
Telephone Number	:	816-470-7320

Provider Enumeration Date	:	10/24/2005
Last Update Date	:	05/14/2025

Similar Medicare Providers

1114900172 — MS. CONSTANCE L ROGERS RN ARNP CRNA
Practice Location Address:

904 WOLLARD BLVD
RICHMOND, MO
64085-2229

Practice Phone: 816-470-5432
Practice Fax:

1043294267 — ANNE MARIE BECKER HALL MD
Practice Location Address:

904 WOLLARD BLVD
RICHMOND, MO
64085-2229

Practice Phone: 816-470-5432
Practice Fax:

1710959994 — MR. TOMMY R DOTSON DO
Practice Location Address:

904 WOLLARD BLVD
RICHMOND, MO
64085-2229

Practice Phone: 816-470-5432
Practice Fax: 816-470-7343

1427026475 — DR. DANIEL RICHARD MROSAK MD
Practice Location Address:

904 WOLLARD BLVD
RICHMOND, MO
64085-2229

Practice Phone: 660-259-4383
Practice Fax:

1235191321 — LEI GUAN MD
Practice Location Address:

904 WOLLARD BLVD , RAY COUNTY MEMORIAL HOSPITAL
RICHMOND, MO
64085-2229

Practice Phone: 816-470-5432
Practice Fax: 816-470-8382

1861454910 — REUEL M. GREGORY DO
Practice Location Address:

902 WOLLARD BLVD
RICHMOND, MO
64085-2229

Practice Phone: 816-776-2201
Practice Fax: 816-480-4515

Directions to “RAY COUNTY MEMORIAL HOSPITAL ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.