Sullivan County Memorial Hospital
NPI 1619065828 · Rural Health Clinic/Center · Milan, MO
Enrolled with Medicare as Part a Provider - Rural Health Clinic · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Sullivan County Memorial Hospital is a Rural Health Clinic/Center organization in Milan, MO (NPI 1619065828).
Provider details
- NPI number
- 1619065828
- Entity type
- Organization
- Primary specialty
- Rural Health Clinic/CenterAmbulatory Health Care Facilities
- Parent organization
- Sullivan County Memorial Hospital
- Organization subpart
- Yes
- Authorized official
- Amy Michael, Chief Operating Officer(660) 265-4212
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Other names (DBA / former)
- Doing business as
- Sullivan County Memorial Hospital Milan Family Practice
Registry dates
- Enumerated
- 2006-10-11
- Last updated
- 2015-11-30
Frequently asked questions
- What is Sullivan County Memorial Hospital's NPI number?
- Sullivan County Memorial Hospital's National Provider Identifier (NPI) is 1619065828, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Sullivan County Memorial Hospital?
- Sullivan County Memorial Hospital is classified in the NPPES registry as Rural Health Clinic/Center (Ambulatory Health Care Facilities).
- Where is Sullivan County Memorial Hospital located?
- Sullivan County Memorial Hospital's practice location on file with NPPES is 210 N Market St, Milan, MO 63556-1316.
- What is Sullivan County Memorial Hospital's phone number?
- The practice phone number listed in the NPPES registry for Sullivan County Memorial Hospital is (660) 265-4456.
- Does Sullivan County Memorial Hospital accept Medicare?
- Sullivan County Memorial Hospital is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Sullivan County Memorial Hospital?
- The authorized official listed on Sullivan County Memorial Hospital's NPPES record is Amy Michael, Chief Operating Officer. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Sullivan County Memorial Hospital's NPI active?
- Yes — Sullivan County Memorial Hospital's NPI (1619065828) is active in the NPPES registry as of the last update on 2015-11-30.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.