MEDICARE: SCOTLAND COUNTY MEMORIAL HOSPITAL DBA KAHOKA MEDICAL SERVICES

Medicare Provider Information

Scope of Practice

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

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	282NC0060X	Critical Access Hospital
2	207Q00000X	Family Medicine Physician

General Provider Information

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

Provider Business Mailing Address
First Line	:	450 E SIGLER AVE
Second Line	:
City	:	MEMPHIS
State	:	MO
Zip	:	63555-1714
Country	:	US
Telephone Number	:	660-465-8513
Fax Number	:

Provider Business Practice Location Address
First Line	:	374 W COMMERCIAL ST
Second Line	:
City	:	KAHOKA
State	:	MO
Zip	:	63445-1453
Country	:	US
Telephone Number	:	660-465-8513
Fax Number	:

Authorized Official
Title or Position	:	CEO
Name	:	MEAGAN E WEBER
Credential	:
Telephone Number	:	660-465-8511

Provider Enumeration Date	:	06/24/2026
Last Update Date	:	07/02/2026

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