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MO Hospital Profiles By NameWednesday, April 4, 2018
Last updatedTotal Fac Count
166
Barnes-Jewish HospitalOne Barnes Jewish Hospital Plaza LTC beds: 0Med/Surg Beds: 806
Pediatric Beds: 0St. Louis, MO 63110
Administrator: Bob Cannon, President
Phone: (314) 747-3000
Fax: (314) 362-0468
Facility ID: H006
ICU Beds: 153
Alcohol/Drug Beds 0 OB Beds: 105
Rehab Beds: 0 Psych Beds: 46
NICU Beds: 0 Total Beds Lic: 1110
Licensed Beds by Classification
Critical Access?
PPS rehab unit?
PPS psych unit?
Accredited?
CMS Provider#: 260032
by JointCom
County ST LOUIS CIT
Hospital Type: General Acute Care Hospital
Swingbeds?
License Exp 01/31/2019License #: 421Trauma: I Stroke: I STEMITCD Level(s) [if applicable]:
Barnes-Jewish Hospital - NorthOne Parkview Place LTC beds: 0Med/Surg Beds: 376
Pediatric Beds: 0St. Louis, MO 63110
Administrator: Bob Cannon
Phone: (314) 747-3000
Fax: (314) 362-0468
Facility ID: H005
ICU Beds: 32
Alcohol/Drug Beds 0 OB Beds: 70
Rehab Beds: 0 Psych Beds: 0
NICU Beds: 0 Total Beds Lic: 478
Licensed Beds by Classification
Critical Access?
PPS rehab unit?
PPS psych unit?
Accredited?
CMS Provider#: 260032
by JointCom
County ST LOUIS CIT
Hospital Type: General Acute Care Hospital
Swingbeds?
License Exp 01/31/2019License #: 421Trauma: Stroke: STEMITCD Level(s) [if applicable]:
Barnes-Jewish Hospital - Psychiatric Su5355 Delmar Blvd LTC beds: 0Med/Surg Beds: 0
Pediatric Beds: 0St. Louis, MO 63112
Administrator: Robert Cannon, CEO
Phone: (314) 932-7110
Fax:
Facility ID: H177
ICU Beds: 0
Alcohol/Drug Beds 0 OB Beds: 0
Rehab Beds: 0 Psych Beds: 50
NICU Beds: 0 Total Beds Lic: 50
Licensed Beds by Classification
Critical Access?
PPS rehab unit?
PPS psych unit?
Accredited?
CMS Provider#: 26S032
by JointCom
County ST LOUIS CIT
Hospital Type: Psychiatric Hospital
Swingbeds?
License Exp 01/31/2019License #: 421Trauma: Stroke: STEMITCD Level(s) [if applicable]:
Barnes-Jewish St. Peters Hospital#10 Hospital Drive LTC beds: 0Med/Surg Beds: 97
Pediatric Beds: 0St. Peters, MO 63376
Administrator: Christopher Watts, CEO
Phone: (636) 916-9000
Fax: (636) 916-9414
Facility ID: H007
ICU Beds: 16
Alcohol/Drug Beds 0 OB Beds: 0
Rehab Beds: 0 Psych Beds: 0
NICU Beds: 0 Total Beds Lic: 113
Licensed Beds by Classification
Critical Access?
PPS rehab unit?
PPS psych unit?
Accredited?
CMS Provider#: 260191
by JointCom
County ST CHARLES
Hospital Type: General Acute Care Hospital
Swingbeds?
License Exp 08/31/2018License #: 357Trauma: Stroke: II STEMITCD Level(s) [if applicable]:
Barnes-Jewish West County Hospital12634 Olive Boulevard LTC beds: 0Med/Surg Beds: 105
Pediatric Beds: 0Creve Coeur, MO 63141
Administrator: Trisha Lollo
Phone: (314) 996-8000
Fax: (314) 996-8619
Facility ID: H008
ICU Beds: 8
Alcohol/Drug Beds 0 OB Beds: 0
Rehab Beds: 0 Psych Beds: 0
NICU Beds: 0 Total Beds Lic: 113
Licensed Beds by Classification
Critical Access?
PPS rehab unit?
PPS psych unit?
Accredited?
CMS Provider#: 260162
by JointCom
County ST LOUIS
Hospital Type: General Acute Care Hospital
Swingbeds?
License Exp 10/31/2018License #: 368Trauma: Stroke: STEMITCD Level(s) [if applicable]:
Bates County Memorial Hospital615 West Nursery Street, P.O. Box 370 LTC beds: 0Med/Surg Beds: 54
Pediatric Beds: 0Butler, MO 64730
Administrator: John P. Bustle, CEO
Phone: (660) 200-7000
Fax: (660) 679-4381
Facility ID: H010
ICU Beds: 6
Alcohol/Drug Beds 0 OB Beds: 0
Rehab Beds: 0 Psych Beds: 0
NICU Beds: 0 Total Beds Lic: 60
Licensed Beds by Classification
Critical Access?
PPS rehab unit?
PPS psych unit?
Accredited?
CMS Provider#: 260034
County BATES
Hospital Type: General Acute Care Hospital
Swingbeds?
License Exp 08/31/2018License #: 205Trauma: Stroke: STEMITCD Level(s) [if applicable]:
Wednesday, April 4, 2018 Page 1 of 24
Belton Regional Medical Center17065 S. 71 Highway LTC beds: 0Med/Surg Beds: 66
Pediatric Beds: 0Belton, MO 64012
Administrator: Todd Krass, CEO
Phone: (816) 348-1200
Fax: (816) 348-1271
Facility ID: H149
ICU Beds: 5
Alcohol/Drug Beds 0 OB Beds: 0
Rehab Beds: 0 Psych Beds: 0
NICU Beds: 0 Total Beds Lic: 71
Licensed Beds by Classification
Critical Access?
PPS rehab unit?
PPS psych unit?
Accredited?
CMS Provider#: 260214
by JointCom
County CASS
Hospital Type: General Acute Care Hospital
Swingbeds?
License Exp 12/31/2018License #: 491Trauma: III Stroke: III STEMITCD Level(s) [if applicable]:
Black River Community Medical Center217 Physicians Park Drive LTC beds: 0Med/Surg Beds: 8
Pediatric Beds: 0Poplar Bluff, MO 63901
Administrator: Christy Montgomery Shawan, C
Phone: (573) 727-9080
Fax:
Facility ID: H178
ICU Beds: 0
Alcohol/Drug Beds 0 OB Beds: 0
Rehab Beds: 0 Psych Beds: 0
NICU Beds: 0 Total Beds Lic: 8
Licensed Beds by Classification
Critical Access?
PPS rehab unit?
PPS psych unit?
Accredited?
CMS Provider#: 260227
by JointCom
County BUTLER
Hospital Type: General Acute Care Hospital
Swingbeds?
License Exp 05/31/2018License #: 524Trauma: Stroke: STEMITCD Level(s) [if applicable]:
Boone Hospital Center1600 East Broadway LTC beds: 0Med/Surg Beds: 262
Pediatric Beds: 14Columbia, MO 65201
Administrator: Jim Sinek, President
Phone: (573) 815-8000
Fax: (573) 815-2638
Facility ID: H011
ICU Beds: 32
Alcohol/Drug Beds 0 OB Beds: 48
Rehab Beds: 15 Psych Beds: 0
NICU Beds: 21 Total Beds Lic: 392
Licensed Beds by Classification
Critical Access?
PPS rehab unit?
PPS psych unit?
Accredited?
CMS Provider#: 260068
by JointCom
County BOONE
Hospital Type: General Acute Care Hospital
Swingbeds?
License Exp 08/31/2018License #: 361Trauma: Stroke: I STEMITCD Level(s) [if applicable]:
Bothwell Regional Health Center601 East 14th Street, P.O. Box 1706 LTC beds: 15Med/Surg Beds: 87
Pediatric Beds: 11Sedalia, MO 65301
Administrator: James Robertson, CEO
Phone: (660) 826-8833
Fax: (660) 827-6804
Facility ID: H012
ICU Beds: 9
Alcohol/Drug Beds 0 OB Beds: 23
Rehab Beds: 0 Psych Beds: 0
NICU Beds: 0 Total Beds Lic: 145
Licensed Beds by Classification
Critical Access?
PPS rehab unit?
PPS psych unit?
Accredited?
CMS Provider#: 260009
by JointCom
County PETTIS
Hospital Type: General Acute Care Hospital
Swingbeds?
License Exp 06/30/2018License #: 22Trauma: Stroke: STEMITCD Level(s) [if applicable]:
Cameron Regional Medical Center, Inc.1600 East Evergreen, P.O. Box 557 LTC beds: 0Med/Surg Beds: 33
Pediatric Beds: 0Cameron, MO 64429
Administrator: Joseph F. Abrutz, Administrator
Phone: (816) 632-2101
Fax: (816) 649-3362
Facility ID: H015
ICU Beds: 5
Alcohol/Drug Beds 0 OB Beds: 4
Rehab Beds: 6 Psych Beds: 10
NICU Beds: 0 Total Beds Lic: 58
Licensed Beds by Classification
Critical Access?
PPS rehab unit?
PPS psych unit?
Accredited?
CMS Provider#: 260057
County CLINTON
Hospital Type: General Acute Care Hospital
Swingbeds?
License Exp 07/31/2018License #: 473Trauma: Stroke: STEMITCD Level(s) [if applicable]:
Capital Region Medical Center1125 Madison, P.O. Box 1128 LTC beds: 0Med/Surg Beds: 76
Pediatric Beds: 0Jefferson City, MO 65101
Administrator: Gaspare Calvaruso, President
Phone: (573) 632-5000
Fax: (573) 632-5880
Facility ID: H016
ICU Beds: 12
Alcohol/Drug Beds 0 OB Beds: 12
Rehab Beds: 14 Psych Beds: 0
NICU Beds: 0 Total Beds Lic: 114
Licensed Beds by Classification
Critical Access?
PPS rehab unit?
PPS psych unit?
Accredited?
CMS Provider#: 260047
by JointCom
County COLE
Hospital Type: General Acute Care Hospital
Swingbeds?
License Exp 12/31/2018License #: 419Trauma: Stroke: III STEMITCD Level(s) [if applicable]:
Carroll County Memorial Hospital1502 North Jefferson LTC beds: 0Med/Surg Beds: 25
Pediatric Beds: 0Carrollton, MO 64633
Administrator: Jeff Tindle, CEO
Phone: (660) 542-1695
Fax: (660) 542-0363
Facility ID: H017
ICU Beds: 0
Alcohol/Drug Beds 0 OB Beds: 0
Rehab Beds: 0 Psych Beds: 0
NICU Beds: 0 Total Beds Lic: 25
Licensed Beds by Classification
Critical Access?
PPS rehab unit?
PPS psych unit?
Accredited?
CMS Provider#: 261332
County CARROLL
Hospital Type: General Acute Care Hospital
Swingbeds?
License Exp 05/31/2018License #: 210Trauma: Stroke: STEMITCD Level(s) [if applicable]:
Wednesday, April 4, 2018 Page 2 of 24
Cass Regional Medical Center2800 E Rock Haven Road LTC beds: 0Med/Surg Beds: 21
Pediatric Beds: 0Harrisonville, MO 64701
Administrator: J. Christopher Lang, CEO
Phone: (816) 380-3474
Fax: (816) 380-4639
Facility ID: H018
ICU Beds: 4
Alcohol/Drug Beds 0 OB Beds: 0
Rehab Beds: 0 Psych Beds: 10
NICU Beds: 0 Total Beds Lic: 35
Licensed Beds by Classification
Critical Access?
PPS rehab unit?
PPS psych unit?
Accredited?
CMS Provider#: 261324
by JointCom
County CASS
Hospital Type: General Acute Care Hospital
Swingbeds?
License Exp 02/28/2019License #: 219Trauma: III Stroke: STEMITCD Level(s) [if applicable]:
Cedar County Memorial Hospital1401 South Park Street LTC beds: 0Med/Surg Beds: 25
Pediatric Beds: 0El Dorado Springs, MO 64744
Administrator: Jana Witt, CEO
Phone: (417) 876-2511
Fax: (417) 876-3812
Facility ID: H019
ICU Beds: 0
Alcohol/Drug Beds 0 OB Beds: 0
Rehab Beds: 0 Psych Beds: 0
NICU Beds: 0 Total Beds Lic: 25
Licensed Beds by Classification
Critical Access?
PPS rehab unit?
PPS psych unit?
Accredited?
CMS Provider#: 261323
County CEDAR
Hospital Type: General Acute Care Hospital
Swingbeds?
License Exp 10/31/2018License #: 208Trauma: Stroke: STEMITCD Level(s) [if applicable]:
Center for Behavioral Medicine1000 East 24th Street LTC beds: 0Med/Surg Beds: 0
Pediatric Beds: 0Kansas City, MO 64108
Administrator: Jeanette Simmons, COO
Phone: (816) 512-7000
Fax:
Facility ID: P001
ICU Beds: 0
Alcohol/Drug Beds 0 OB Beds: 0
Rehab Beds: 0 Psych Beds: 0
NICU Beds: 0 Total Beds Lic: 0
Licensed Beds by Classification
Critical Access?
PPS rehab unit?
PPS psych unit?
Accredited?
CMS Provider#: 264008
by JointCom
County JACKSON
Hospital Type: Psychiatric Hospital
Swingbeds?
License ExpLicense #:Trauma: Stroke: STEMITCD Level(s) [if applicable]:
Centerpoint Medical Center19600 East 39th Street LTC beds: 0Med/Surg Beds: 162
Pediatric Beds: 0Independence, MO 64057
Administrator: David R. Williams, CEO
Phone: (816) 698-7000
Fax: (816) 836-6603
Facility ID: H051
ICU Beds: 40
Alcohol/Drug Beds 0 OB Beds: 19
Rehab Beds: 16 Psych Beds: 0
NICU Beds: 12 Total Beds Lic: 249
Licensed Beds by Classification
Critical Access?
PPS rehab unit?
PPS psych unit?
Accredited?
CMS Provider#: 260095
by JointCom
County JACKSON
Hospital Type: General Acute Care Hospital
Swingbeds?
License Exp 03/31/2019License #: 482Trauma: II Stroke: II STEMITCD Level(s) [if applicable]:
CenterPointe Hospital4801 Weldon Spring Parkway LTC beds: 0Med/Surg Beds: 0
Pediatric Beds: 0St. Charles, MO 63304
Administrator: Susan Mathis
Phone: (636) 441-7300
Fax: (636) 477-2165
Facility ID: H104
ICU Beds: 0
Alcohol/Drug Beds 0 OB Beds: 0
Rehab Beds: 0 Psych Beds: 104
NICU Beds: 0 Total Beds Lic: 104
Licensed Beds by Classification
Critical Access?
PPS rehab unit?
PPS psych unit?
Accredited?
CMS Provider#: 264012
by JointCom
County ST CHARLES
Hospital Type: Psychiatric Hospital
Swingbeds?
License Exp 03/31/2019License #: 475Trauma: Stroke: STEMITCD Level(s) [if applicable]:
Children's Mercy Hospital2401 Gillham Road LTC beds: 0Med/Surg Beds: 10
Pediatric Beds: 176Kansas City, MO 64108
Administrator: Randall L. O'Donnell, Ph.D., CE
Phone: (816) 234-3000
Fax: (816) 234-3793
Facility ID: H020
ICU Beds: 41
Alcohol/Drug Beds 0 OB Beds: 0
Rehab Beds: 0 Psych Beds: 0
NICU Beds: 87 Total Beds Lic: 314
Licensed Beds by Classification
Critical Access?
PPS rehab unit?
PPS psych unit?
Accredited?
CMS Provider#: 263302
by JointCom
County JACKSON
Hospital Type: General Acute Care Hospital
Swingbeds?
License Exp 12/31/2018License #: 39Trauma: I Stroke: STEMITCD Level(s) [if applicable]:
Christian Hospital Northeast-Northwest1225 Graham Road LTC beds: 0Med/Surg Beds: 0
Pediatric Beds: 0Florissant, MO 63031
Administrator: Rick Stevens
Phone: (314) 953-6000
Fax: (314) 653-4408
Facility ID: H021
ICU Beds: 3
Alcohol/Drug Beds 0 OB Beds: 0
Rehab Beds: 0 Psych Beds: 0
NICU Beds: 0 Total Beds Lic: 3
Licensed Beds by Classification
Critical Access?
PPS rehab unit?
PPS psych unit?
Accredited?
CMS Provider#: 260180
by JointCom
County ST LOUIS
Hospital Type: General Acute Care Hospital
Swingbeds?
License Exp 09/30/2018License #: 425Trauma: Stroke: STEMITCD Level(s) [if applicable]:
Wednesday, April 4, 2018 Page 3 of 24
Christian Hospital Northeast-Northwest11133 Dunn Road LTC beds: 0Med/Surg Beds: 398
Pediatric Beds: 0St. Louis, MO 63136
Administrator: Rick Stevens
Phone: (314) 653-5034
Fax: (314) 653-4408
Facility ID: H022
ICU Beds: 26
Alcohol/Drug Beds 0 OB Beds: 0
Rehab Beds: 18 Psych Beds: 40
NICU Beds: 0 Total Beds Lic: 482
Licensed Beds by Classification
Critical Access?
PPS rehab unit?
PPS psych unit?
Accredited?
CMS Provider#: 260180
by JointCom
County ST LOUIS
Hospital Type: General Acute Care Hospital
Swingbeds?
License Exp 09/30/2018License #: 425Trauma: Stroke: II STEMITCD Level(s) [if applicable]:
Citizens Memorial Hospital1500 North Oakland Ave LTC beds: 0Med/Surg Beds: 48
Pediatric Beds: 0Bolivar, MO 65613
Administrator: Donald J. Babb, CEO
Phone: (417) 328-6501
Fax: (417) 328-6338
Facility ID: H023
ICU Beds: 10
Alcohol/Drug Beds 0 OB Beds: 8
Rehab Beds: 0 Psych Beds: 20
NICU Beds: 0 Total Beds Lic: 86
Licensed Beds by Classification
Critical Access?
PPS rehab unit?
PPS psych unit?
Accredited?
CMS Provider#: 260195
by JointCom
County POLK
Hospital Type: General Acute Care Hospital
Swingbeds?
License Exp 08/31/2018License #: 313Trauma: III Stroke: STEMITCD Level(s) [if applicable]:
Community Hospital Association26136 US Highway 59, PO Box 107 LTC beds: 0Med/Surg Beds: 15
Pediatric Beds: 1Fairfax, MO 64446
Administrator: Roger Steinkruger, CEO
Phone: (660) 686-2211
Fax: (660) 686-2618
Facility ID: H024
ICU Beds: 0
Alcohol/Drug Beds 0 OB Beds: 2
Rehab Beds: 0 Psych Beds: 0
NICU Beds: 0 Total Beds Lic: 18
Licensed Beds by Classification
Critical Access?
PPS rehab unit?
PPS psych unit?
Accredited?
CMS Provider#: 261303
by Other
County ATCHISON
Hospital Type: General Acute Care Hospital
Swingbeds?
License Exp 08/31/2018License #: 102Trauma: Stroke: STEMITCD Level(s) [if applicable]:
Cooper County Community Hospital17651 B. Highway, P.O. Box 88 LTC beds: 46Med/Surg Beds: 44
Pediatric Beds: 0Boonville, MO 65233
Administrator: Bill May, CEO
Phone: (660) 882-7461
Fax: (660) 882-6093
Facility ID: H025
ICU Beds: 0
Alcohol/Drug Beds 0 OB Beds: 0
Rehab Beds: 0 Psych Beds: 0
NICU Beds: 0 Total Beds Lic: 70
Licensed Beds by Classification
Critical Access?
PPS rehab unit?
PPS psych unit?
Accredited?
CMS Provider#: 260004
County COOPER
Hospital Type: General Acute Care Hospital
Swingbeds?
License Exp 01/31/2019License #: 550Trauma: Stroke: STEMITCD Level(s) [if applicable]:
Cox Barton County Hospital29 NW 1st Lane LTC beds: 0Med/Surg Beds: 25
Pediatric Beds: 0Lamar, MO 64759
Administrator: Wendy Duvall, CEO
Phone: (417) 681-5100
Fax: (417) 682-2138
Facility ID: H009
ICU Beds: 0
Alcohol/Drug Beds 0 OB Beds: 0
Rehab Beds: 0 Psych Beds: 0
NICU Beds: 0 Total Beds Lic: 25
Licensed Beds by Classification
Critical Access?
PPS rehab unit?
PPS psych unit?
Accredited?
CMS Provider#: 261325
County BARTON
Hospital Type: General Acute Care Hospital
Swingbeds?
License Exp 12/31/2018License #: 247Trauma: Stroke: STEMITCD Level(s) [if applicable]:
Cox Medical Center Branson525 Branson Landing Blvd, P.O. Box 650 LTC beds: 0Med/Surg Beds: 88
Pediatric Beds: 8Branson, MO 65615
Administrator: William K. Mahoney, President &
Phone: (417) 335-7000
Fax: (417) 334-1505
Facility ID: H100
ICU Beds: 20
Alcohol/Drug Beds 0 OB Beds: 14
Rehab Beds: 13 Psych Beds: 14
NICU Beds: 0 Total Beds Lic: 157
Licensed Beds by Classification
Critical Access?
PPS rehab unit?
PPS psych unit?
Accredited?
CMS Provider#: 260094
by Other
County TANEY
Hospital Type: General Acute Care Hospital
Swingbeds?
License Exp 06/30/2018License #: 52Trauma: II Stroke: II STEMITCD Level(s) [if applicable]:
Cox Medical Centers Meyer Orthopedic 3535 S National Ave LTC beds: 28Med/Surg Beds: 24
Pediatric Beds: 0Springfield, MO 65807
Administrator: Steven D. Edwards, President/C
Phone: (417) 269-6000
Fax: (417) 269-9966
Facility ID: H028
ICU Beds: 0
Alcohol/Drug Beds 0 OB Beds: 0
Rehab Beds: 34 Psych Beds: 0
NICU Beds: 0 Total Beds Lic: 86
Licensed Beds by Classification
Critical Access?
PPS rehab unit?
PPS psych unit?
Accredited?
CMS Provider#: 260040
by Other
County GREENE
Hospital Type: General Acute Care Hospital
Swingbeds?
License Exp 07/31/2018License #: 500Trauma: Stroke: STEMITCD Level(s) [if applicable]:
Wednesday, April 4, 2018 Page 4 of 24
Cox Medical Centers North Hospital1423 North Jefferson Avenue LTC beds: 0Med/Surg Beds: 3
Pediatric Beds: 0Springfield, MO 65802
Administrator: Steven D. Edwards, President/C
Phone: (417) 269-3000
Fax: (417) 269-4104
Facility ID: H026
ICU Beds: 0
Alcohol/Drug Beds 0 OB Beds: 0
Rehab Beds: 0 Psych Beds: 72
NICU Beds: 0 Total Beds Lic: 75
Licensed Beds by Classification
Critical Access?
PPS rehab unit?
PPS psych unit?
Accredited?
CMS Provider#: 260040
by Other
County GREENE
Hospital Type: General Acute Care Hospital
Swingbeds?
License Exp 07/31/2018License #: 500Trauma: Stroke: STEMITCD Level(s) [if applicable]:
Cox Medical Centers South Hospital3801 South National Avenue LTC beds: 0Med/Surg Beds: 477
Pediatric Beds: 26Springfield, MO 65807
Administrator: Steven D. Edwards, CEO
Phone: (417) 269-6000
Fax: (417) 269-4104
Facility ID: H027
ICU Beds: 80
Alcohol/Drug Beds 0 OB Beds: 32
Rehab Beds: 0 Psych Beds: 0
NICU Beds: 34 Total Beds Lic: 810
Licensed Beds by Classification
Critical Access?
PPS rehab unit?
PPS psych unit?
Accredited?
CMS Provider#: 260040
by Other
County GREENE
Hospital Type: General Acute Care Hospital
Swingbeds?
License Exp 07/31/2018License #: 500Trauma: I Stroke: I STEMITCD Level(s) [if applicable]:
Cox Monett Hospital801 North Lincoln Avenue LTC beds: 0Med/Surg Beds: 18
Pediatric Beds: 0Monett, MO 65708
Administrator: Darren Bass, President
Phone: (417) 354-1400
Fax: (417) 354-1412
Facility ID: H029
ICU Beds: 0
Alcohol/Drug Beds 0 OB Beds: 7
Rehab Beds: 0 Psych Beds: 0
NICU Beds: 0 Total Beds Lic: 25
Licensed Beds by Classification
Critical Access?
PPS rehab unit?
PPS psych unit?
Accredited?
CMS Provider#: 261329
by Other
County BARRY
Hospital Type: General Acute Care Hospital
Swingbeds?
License Exp 10/31/2018License #: 389Trauma: Stroke: IV STEMITCD Level(s) [if applicable]:
Crittenton Children's Center10918 Elm Avenue LTC beds: 0Med/Surg Beds: 0
Pediatric Beds: 0Kansas City, MO 64134
Administrator: Jani L. Johnson, CEO
Phone: (816) 765-6600
Fax: (816) 767-4159
Facility ID: H030
ICU Beds: 0
Alcohol/Drug Beds 0 OB Beds: 0
Rehab Beds: 0 Psych Beds: 46
NICU Beds: 0 Total Beds Lic: 46
Licensed Beds by Classification
Critical Access?
PPS rehab unit?
PPS psych unit?
Accredited?
CMS Provider#: 260138
by JointCom
County JACKSON
Hospital Type: Psychiatric Hospital
Swingbeds?
License Exp 07/31/2018License #: 87Trauma: Stroke: STEMITCD Level(s) [if applicable]:
Des Peres Hospital2345 Dougherty Ferry Road LTC beds: 0Med/Surg Beds: 128
Pediatric Beds: 0St. Louis, MO 63122
Administrator: David Loving, CEO
Phone: (314) 966-9135
Fax: (314) 966-9274
Facility ID: H033
ICU Beds: 15
Alcohol/Drug Beds 0 OB Beds: 0
Rehab Beds: 0 Psych Beds: 0
NICU Beds: 0 Total Beds Lic: 143
Licensed Beds by Classification
Critical Access?
PPS rehab unit?
PPS psych unit?
Accredited?
CMS Provider#: 260176
by JointCom
County ST LOUIS
Hospital Type: General Acute Care Hospital
Swingbeds?
License Exp 06/30/2018License #: 437Trauma: Stroke: STEMITCD Level(s) [if applicable]:
Ellett Memorial Hospital610 North Ohio Avenue LTC beds: 0Med/Surg Beds: 12
Pediatric Beds: 0Appleton City, MO 64724
Administrator: Melissa Fletcher, CEO
Phone: (660) 476-2111
Fax: (660) 476-5591
Facility ID: H035
ICU Beds: 0
Alcohol/Drug Beds 0 OB Beds: 0
Rehab Beds: 0 Psych Beds: 0
NICU Beds: 0 Total Beds Lic: 12
Licensed Beds by Classification
Critical Access?
PPS rehab unit?
PPS psych unit?
Accredited?
CMS Provider#: 261301
County ST CLAIR
Hospital Type: General Acute Care Hospital
Swingbeds?
License Exp 02/28/2019License #: 270Trauma: Stroke: STEMITCD Level(s) [if applicable]:
Excelsior Springs Hospital1700 Rainbow Boulevard LTC beds: 60Med/Surg Beds: 41
Pediatric Beds: 0Excelsior Springs, MO 64024
Administrator: Kristen DeHart, CEO
Phone: (816) 630-6081
Fax: (816) 629-2701
Facility ID: H036
ICU Beds: 4
Alcohol/Drug Beds 0 OB Beds: 0
Rehab Beds: 0 Psych Beds: 0
NICU Beds: 0 Total Beds Lic: 105
Licensed Beds by Classification
Critical Access?
PPS rehab unit?
PPS psych unit?
Accredited?
CMS Provider#: 261322
County CLAY
Hospital Type: General Acute Care Hospital
Swingbeds?
License Exp 12/31/2018License #: 286Trauma: Stroke: STEMITCD Level(s) [if applicable]:
Wednesday, April 4, 2018 Page 5 of 24
Fitzgibbon Hospital2305 South 65 Highway, P.O. Box 250 LTC beds: 0Med/Surg Beds: 36
Pediatric Beds: 0Marshall, MO 65340
Administrator: Darin L. Haug, CEO
Phone: (660) 831-3249
Fax: (660) 886-9001
Facility ID: H037
ICU Beds: 7
Alcohol/Drug Beds 0 OB Beds: 4
Rehab Beds: 0 Psych Beds: 13
NICU Beds: 0 Total Beds Lic: 60
Licensed Beds by Classification
Critical Access?
PPS rehab unit?
PPS psych unit?
Accredited?
CMS Provider#: 260142
County SALINE
Hospital Type: General Acute Care Hospital
Swingbeds?
License Exp 06/30/2018License #: 27Trauma: Stroke: STEMITCD Level(s) [if applicable]:
Freeman Health System - East932 East 34th Street LTC beds: 0Med/Surg Beds: 0
Pediatric Beds: 0Joplin, MO 64804
Administrator: Paula Baker, President & CEO
Phone: (417) 347-1111
Fax: (417) 347-6646
Facility ID: H039
ICU Beds: 0
Alcohol/Drug Beds 0 OB Beds: 0
Rehab Beds: 20 Psych Beds: 52
NICU Beds: 0 Total Beds Lic: 72
Licensed Beds by Classification
Critical Access?
PPS rehab unit?
PPS psych unit?
Accredited?
CMS Provider#: 260137
by AOA
County NEWTON
Hospital Type: General Acute Care Hospital
Swingbeds?
License Exp 02/28/2019License #: 418Trauma: Stroke: STEMITCD Level(s) [if applicable]:
Freeman Health System - West1102 West 32nd Street LTC beds: 0Med/Surg Beds: 225
Pediatric Beds: 9Joplin, MO 64804
Administrator: Paula Baker, President & CEO
Phone: (417) 347-1111
Fax: (417) 347-6646
Facility ID: H040
ICU Beds: 53
Alcohol/Drug Beds 0 OB Beds: 28
Rehab Beds: 0 Psych Beds: 0
NICU Beds: 24 Total Beds Lic: 339
Licensed Beds by Classification
Critical Access?
PPS rehab unit?
PPS psych unit?
Accredited?
CMS Provider#: 260137
by AOA
County NEWTON
Hospital Type: General Acute Care Hospital
Swingbeds?
License Exp 02/28/2019License #: 418Trauma: II Stroke: II STEMITCD Level(s) [if applicable]:
Freeman Neosho Hospital113 West Hickory Street LTC beds: 0Med/Surg Beds: 45
Pediatric Beds: 0Neosho, MO 64850
Administrator: Renee Denton, Administrative S
Phone: (417) 451-1234
Fax: (417) 455-4355
Facility ID: H041
ICU Beds: 4
Alcohol/Drug Beds 0 OB Beds: 0
Rehab Beds: 0 Psych Beds: 0
NICU Beds: 0 Total Beds Lic: 49
Licensed Beds by Classification
Critical Access?
PPS rehab unit?
PPS psych unit?
Accredited?
CMS Provider#: 261331
County NEWTON
Hospital Type: General Acute Care Hospital
Swingbeds?
License Exp 12/31/2018License #: 402Trauma: Stroke: STEMITCD Level(s) [if applicable]:
Fulton Medical Center, LLC10 South Hospital Drive LTC beds: 0Med/Surg Beds: 18
Pediatric Beds: 0Fulton, MO 65251
Administrator: Isabel Schmedemann, CEO
Phone: (573) 642-3376
Fax: (573) 642-9830
Facility ID: H014
ICU Beds: 0
Alcohol/Drug Beds 0 OB Beds: 0
Rehab Beds: 0 Psych Beds: 19
NICU Beds: 0 Total Beds Lic: 37
Licensed Beds by Classification
Critical Access?
PPS rehab unit?
PPS psych unit?
Accredited?
CMS Provider#: 260209
by JointCom
County CALLAWAY
Hospital Type: General Acute Care Hospital
Swingbeds?
License Exp 12/31/2018License #: 535Trauma: Stroke: STEMITCD Level(s) [if applicable]:
Fulton State Hospital600 East 5th Street LTC beds: 0Med/Surg Beds: 0
Pediatric Beds: 0Fulton, MO 65251
Administrator: Marty Martin-Forman
Phone: (573) 592-4100
Fax:
Facility ID: P007
ICU Beds: 0
Alcohol/Drug Beds 0 OB Beds: 0
Rehab Beds: 0 Psych Beds: 0
NICU Beds: 0 Total Beds Lic: 0
Licensed Beds by Classification
Critical Access?
PPS rehab unit?
PPS psych unit?
Accredited?
CMS Provider#: 264004
by JointCom
County CALLAWAY
Hospital Type: Psychiatric Hospital
Swingbeds?
License ExpLicense #:Trauma: Stroke: STEMITCD Level(s) [if applicable]:
Golden Valley Memorial Hospital1600 North Second Street LTC beds: 0Med/Surg Beds: 40
Pediatric Beds: 0Clinton, MO 64735
Administrator: Craig Thompson, CEO
Phone: (660) 890-7103
Fax: (660) 855-8496
Facility ID: H043
ICU Beds: 8
Alcohol/Drug Beds 0 OB Beds: 8
Rehab Beds: 0 Psych Beds: 0
NICU Beds: 0 Total Beds Lic: 56
Licensed Beds by Classification
Critical Access?
PPS rehab unit?
PPS psych unit?
Accredited?
CMS Provider#: 260175
by JointCom
County HENRY
Hospital Type: General Acute Care Hospital
Swingbeds?
License Exp 01/31/2019License #: 257Trauma: Stroke: STEMITCD Level(s) [if applicable]:
Wednesday, April 4, 2018 Page 6 of 24
Hannibal Regional Hospital6000 Hospital Drive, PO Box 551 LTC beds: 0Med/Surg Beds: 70
Pediatric Beds: 0Hannibal, MO 63401
Administrator: Todd Ahrens, CEO
Phone: (573) 248-1300
Fax: (573) 248-5264
Facility ID: H044
ICU Beds: 8
Alcohol/Drug Beds 0 OB Beds: 8
Rehab Beds: 13 Psych Beds: 0
NICU Beds: 0 Total Beds Lic: 99
Licensed Beds by Classification
Critical Access?
PPS rehab unit?
PPS psych unit?
Accredited?
CMS Provider#: 260025
by JointCom
County MARION
Hospital Type: General Acute Care Hospital
Swingbeds?
License Exp 08/31/2018License #: 101Trauma: Stroke: III STEMITCD Level(s) [if applicable]:
Harrison County Community Hospital2600 Miller Street, P.O. Box 428 LTC beds: 0Med/Surg Beds: 19
Pediatric Beds: 0Bethany, MO 64424
Administrator: Christina L. Gillespie, CEO
Phone: (660) 425-2211
Fax: (660) 425-2366
Facility ID: H045
ICU Beds: 0
Alcohol/Drug Beds 0 OB Beds: 0
Rehab Beds: 0 Psych Beds: 0
NICU Beds: 0 Total Beds Lic: 19
Licensed Beds by Classification
Critical Access?
PPS rehab unit?
PPS psych unit?
Accredited?
CMS Provider#: 261312
County HARRISON
Hospital Type: General Acute Care Hospital
Swingbeds?
License Exp 03/31/2019License #: 372Trauma: Stroke: STEMITCD Level(s) [if applicable]:
Hawthorn Children's Psychiatric Hospit1901 Pennsylvania Avenue LTC beds: 0Med/Surg Beds: 0
Pediatric Beds: 0St Louis, MO 63133
Administrator: Laurent D. Javois, CEO
Phone: (314) 512-7800
Fax: (314) 512-7812
Facility ID: T001
ICU Beds: 0
Alcohol/Drug Beds 0 OB Beds: 0
Rehab Beds: 0 Psych Beds: 0
NICU Beds: 0 Total Beds Lic: 0
Licensed Beds by Classification
Critical Access?
PPS rehab unit?
PPS psych unit?
Accredited?
CMS Provider#: 26L001
by JointCom
County ST LOUIS
Hospital Type:
Swingbeds?
License ExpLicense #:Trauma: Stroke: STEMITCD Level(s) [if applicable]:
Hawthorn Children's Psychiatric Hospit1901 Pennsylvania Avenue LTC beds: 0Med/Surg Beds: 0
Pediatric Beds: 0St. Louis, MO 63133
Administrator: Laurent D. Javois, CEO
Phone: (314) 512-7800
Fax: (314) 512-7812
Facility ID: H179
ICU Beds: 0
Alcohol/Drug Beds 0 OB Beds: 0
Rehab Beds: 0 Psych Beds: 0
NICU Beds: 0 Total Beds Lic: 0
Licensed Beds by Classification
Critical Access?
PPS rehab unit?
PPS psych unit?
Accredited?
CMS Provider#: 264028
by JointCom
County ST LOUIS
Hospital Type:
Swingbeds?
License ExpLicense #:Trauma: Stroke: STEMITCD Level(s) [if applicable]:
Heartland Behavioral Health Services1500 West Ashland LTC beds: 0Med/Surg Beds: 0
Pediatric Beds: 0Nevada, MO 64772
Administrator: Alyson Harder, MSW, LCSW, C
Phone: (417) 667-2666
Fax: (417) 448-5689
Facility ID: H046
ICU Beds: 0
Alcohol/Drug Beds 0 OB Beds: 0
Rehab Beds: 0 Psych Beds: 69
NICU Beds: 0 Total Beds Lic: 69
Licensed Beds by Classification
Critical Access?
PPS rehab unit?
PPS psych unit?
Accredited?
CMS Provider#:
by JointCom
County VERNON
Hospital Type: Psychiatric Hospital
Swingbeds?
License Exp 02/28/2019License #: 323Trauma: Stroke: STEMITCD Level(s) [if applicable]:
Hedrick Medical Center2799 North Washington Street LTC beds: 0Med/Surg Beds: 17
Pediatric Beds: 0Chillicothe, MO 64601
Administrator: Steven Schieber, CEO
Phone: (660) 646-1480
Fax: (660) 646-6024
Facility ID: H049
ICU Beds: 4
Alcohol/Drug Beds 0 OB Beds: 4
Rehab Beds: 0 Psych Beds: 0
NICU Beds: 0 Total Beds Lic: 25
Licensed Beds by Classification
Critical Access?
PPS rehab unit?
PPS psych unit?
Accredited?
CMS Provider#: 261321
by JointCom
County LIVINGSTON
Hospital Type: General Acute Care Hospital
Swingbeds?
License Exp 04/30/2018License #: 422Trauma: Stroke: III STEMITCD Level(s) [if applicable]:
Hermann Area District Hospital509 West 18th Street, P.O. Box 470 LTC beds: 0Med/Surg Beds: 24
Pediatric Beds: 0Hermann, MO 65041
Administrator: C. Dan McKinney, Administrator
Phone: (573) 486-2191
Fax: (573) 486-3743
Facility ID: H050
ICU Beds: 0
Alcohol/Drug Beds 0 OB Beds: 0
Rehab Beds: 0 Psych Beds: 0
NICU Beds: 0 Total Beds Lic: 24
Licensed Beds by Classification
Critical Access?
PPS rehab unit?
PPS psych unit?
Accredited?
CMS Provider#: 261314
County GASCONADE
Hospital Type: General Acute Care Hospital
Swingbeds?
License Exp 05/31/2018License #: 238Trauma: II Stroke: STEMITCD Level(s) [if applicable]:
Wednesday, April 4, 2018 Page 7 of 24
I-70 Community Hospital105 Hospital Drive LTC beds: 0Med/Surg Beds: 15
Pediatric Beds: 0Sweet Springs, MO 65351
Administrator: Jeff Bloemker, CEO
Phone: (660) 335-4700
Fax: (660) 335-7487
Facility ID: H157
ICU Beds: 0
Alcohol/Drug Beds 0 OB Beds: 0
Rehab Beds: 0 Psych Beds: 0
NICU Beds: 0 Total Beds Lic: 15
Licensed Beds by Classification
Critical Access?
PPS rehab unit?
PPS psych unit?
Accredited?
CMS Provider#: 261334
County SALINE
Hospital Type: General Acute Care Hospital
Swingbeds?
License Exp 02/28/2019License #: 544Trauma: Stroke: STEMITCD Level(s) [if applicable]:
Iron County Hospital301 North Highway 21 LTC beds: 0Med/Surg Beds: 15
Pediatric Beds: 0Pilot Knob, MO 63663
Administrator: Joshua Gilmore, CEO
Phone: (573) 546-1260
Fax: (573) 546-8088
Facility ID: H160
ICU Beds: 0
Alcohol/Drug Beds 0 OB Beds: 0
Rehab Beds: 0 Psych Beds: 0
NICU Beds: 0 Total Beds Lic: 15
Licensed Beds by Classification
Critical Access?
PPS rehab unit?
PPS psych unit?
Accredited?
CMS Provider#: 261336
County IRON
Hospital Type: General Acute Care Hospital
Swingbeds?
License Exp 11/30/2018License #: 501Trauma: Stroke: STEMITCD Level(s) [if applicable]:
Kindred Hospital - St. Louis4930 Lindell Boulevard LTC beds: 0Med/Surg Beds: 60
Pediatric Beds: 0St. Louis, MO 63108
Administrator: Jason Grundstrom, CEO
Phone: (314) 361-8700
Fax: (314) 361-1210
Facility ID: H054
ICU Beds: 0
Alcohol/Drug Beds 0 OB Beds: 0
Rehab Beds: 0 Psych Beds: 0
NICU Beds: 0 Total Beds Lic: 60
Licensed Beds by Classification
Critical Access?
PPS rehab unit?
PPS psych unit?
Accredited?
CMS Provider#: 262010
by JointCom
County ST LOUIS CIT
Hospital Type: General Acute Care Hospital
Swingbeds?
License Exp 01/31/2019License #: 444Trauma: Stroke: STEMITCD Level(s) [if applicable]:
Kindred Hospital - St. Louis - St. Anthon10018 Kennerly Road, 3rd Floor, Hyland Building B LTC beds: 0Med/Surg Beds: 38
Pediatric Beds: 0St. Louis, MO 63128
Administrator: Angela Green, CEO
Phone: (314) 525-8100
Fax: (314) 525-8199
Facility ID: H155
ICU Beds: 0
Alcohol/Drug Beds 0 OB Beds: 0
Rehab Beds: 0 Psych Beds: 0
NICU Beds: 0 Total Beds Lic: 38
Licensed Beds by Classification
Critical Access?
PPS rehab unit?
PPS psych unit?
Accredited?
CMS Provider#: 262010
by JointCom
County ST LOUIS
Hospital Type: General Acute Care Hospital
Swingbeds?
License Exp 01/31/2019License #: 444Trauma: Stroke: STEMITCD Level(s) [if applicable]:
Kindred Hospital Northland500 NW 68th Street LTC beds: 0Med/Surg Beds: 35
Pediatric Beds: 0Kansas City, MO 64118
Administrator: Laura Inge, CEO
Phone: (816) 420-6300
Fax:
Facility ID: H174
ICU Beds: 0
Alcohol/Drug Beds 0 OB Beds: 0
Rehab Beds: 0 Psych Beds: 0
NICU Beds: 0 Total Beds Lic: 35
Licensed Beds by Classification
Critical Access?
PPS rehab unit?
PPS psych unit?
Accredited?
CMS Provider#: 262018
by JointCom
County CLAY
Hospital Type: Other Hospital Type
Swingbeds?
License Exp 03/31/2019License #: 508Trauma: Stroke: STEMITCD Level(s) [if applicable]:
Lafayette Regional Health Center1500 State Street LTC beds: 0Med/Surg Beds: 28
Pediatric Beds: 0Lexington, MO 64067
Administrator: Darrel Box, RPh,MHA, CEO
Phone: (660) 259-2203
Fax: (660) 259-6819
Facility ID: H055
ICU Beds: 4
Alcohol/Drug Beds 0 OB Beds: 0
Rehab Beds: 0 Psych Beds: 0
NICU Beds: 0 Total Beds Lic: 32
Licensed Beds by Classification
Critical Access?
PPS rehab unit?
PPS psych unit?
Accredited?
CMS Provider#: 261320
by JointCom
County LAFAYETTE
Hospital Type: General Acute Care Hospital
Swingbeds?
License Exp 03/31/2019License #: 478Trauma: Stroke: III STEMITCD Level(s) [if applicable]:
Lake Regional Health System54 Hospital Drive LTC beds: 16Med/Surg Beds: 72
Pediatric Beds: 0Osage Beach, MO 65065
Administrator: Dane W. Henry, CEO
Phone: (573) 348-8000
Fax: (573) 348-8374
Facility ID: H056
ICU Beds: 18
Alcohol/Drug Beds 0 OB Beds: 10
Rehab Beds: 0 Psych Beds: 0
NICU Beds: 0 Total Beds Lic: 116
Licensed Beds by Classification
Critical Access?
PPS rehab unit?
PPS psych unit?
Accredited?
CMS Provider#: 260186
by JointCom
County CAMDEN
Hospital Type: General Acute Care Hospital
Swingbeds?
License Exp 12/31/2018License #: 291Trauma: III Stroke: II STEMITCD Level(s) [if applicable]:
Wednesday, April 4, 2018 Page 8 of 24
Lakeland Behavioral Health System440 South Market LTC beds: 0Med/Surg Beds: 0
Pediatric Beds: 0Springfield, MO 65806
Administrator: Nate Duncan, MSW, LCSW, CE
Phone: (417) 865-5581
Fax: (417) 865-5964
Facility ID: H057
ICU Beds: 0
Alcohol/Drug Beds 0 OB Beds: 0
Rehab Beds: 0 Psych Beds: 100
NICU Beds: 0 Total Beds Lic: 100
Licensed Beds by Classification
Critical Access?
PPS rehab unit?
PPS psych unit?
Accredited?
CMS Provider#: 264024
by JointCom
County GREENE
Hospital Type: Psychiatric Hospital
Swingbeds?
License Exp 03/31/2019License #: 432Trauma: Stroke: STEMITCD Level(s) [if applicable]:
Landmark Hospital of Cape Girardeau, L3255 Independence Street LTC beds: 0Med/Surg Beds: 30
Pediatric Beds: 0Cape Girardeau, MO 63701
Administrator: Deborah Sabella, CEO
Phone: (573) 335-1091
Fax: (573) 331-8453
Facility ID: H158
ICU Beds: 0
Alcohol/Drug Beds 0 OB Beds: 0
Rehab Beds: 0 Psych Beds: 0
NICU Beds: 0 Total Beds Lic: 30
Licensed Beds by Classification
Critical Access?
PPS rehab unit?
PPS psych unit?
Accredited?
CMS Provider#: 262015
by CIHQ
County CAPE GIRARD
Hospital Type: General Acute Care Hospital
Swingbeds?
License Exp 02/28/2019License #: 496Trauma: Stroke: STEMITCD Level(s) [if applicable]:
Landmark Hospital of Columbia, LLC604 Old Hwy 63 N LTC beds: 0Med/Surg Beds: 42
Pediatric Beds: 0Columbia, MO 65201
Administrator: Mark Brodeur, CEO
Phone: (573) 499-6600
Fax: (573) 499-6651
Facility ID: H175
ICU Beds: 0
Alcohol/Drug Beds 0 OB Beds: 0
Rehab Beds: 0 Psych Beds: 0
NICU Beds: 0 Total Beds Lic: 42
Licensed Beds by Classification
Critical Access?
PPS rehab unit?
PPS psych unit?
Accredited?
CMS Provider#: 262020
by CIHQ
County BOONE
Hospital Type: General Acute Care Hospital
Swingbeds?
License Exp 08/31/2018License #: 517Trauma: Stroke: STEMITCD Level(s) [if applicable]:
Landmark Hospital of Joplin, LLC2040 W. 32nd Street LTC beds: 0Med/Surg Beds: 30
Pediatric Beds: 0Joplin, MO 64804
Administrator: Kevin Clement
Phone: (417) 627-1309
Fax:
Facility ID: H163
ICU Beds: 0
Alcohol/Drug Beds 0 OB Beds: 0
Rehab Beds: 0 Psych Beds: 0
NICU Beds: 0 Total Beds Lic: 30
Licensed Beds by Classification
Critical Access?
PPS rehab unit?
PPS psych unit?
Accredited?
CMS Provider#: 262016
by CIHQ
County NEWTON
Hospital Type: General Acute Care Hospital
Swingbeds?
License Exp 04/30/2018License #: 503Trauma: Stroke: STEMITCD Level(s) [if applicable]:
Landmark Rehabilitation Hospital of Col604 Old 63 N., Suite 101 LTC beds: 0Med/Surg Beds: 0
Pediatric Beds: 0Columbia, MO 652016308
Administrator: Jerry Deller, CEO
Phone: (573) 499-6600
Fax:
Facility ID: H190
ICU Beds: 0
Alcohol/Drug Beds 0 OB Beds: 0
Rehab Beds: 16 Psych Beds: 0
NICU Beds: 0 Total Beds Lic: 16
Licensed Beds by Classification
Critical Access?
PPS rehab unit?
PPS psych unit?
Accredited?
CMS Provider#:
County BOONE
Hospital Type: Rehabilitation Hospital
Swingbeds?
License ExpLicense #: 548Trauma: Stroke: STEMITCD Level(s) [if applicable]:
Lee's Summit Medical Center2100 SE Blue Parkway LTC beds: 0Med/Surg Beds: 54
Pediatric Beds: 0Lee's Summit, MO 64063
Administrator: Pat Kueny, CEO
Phone: (816) 282-5000
Fax: (816) 282-5942
Facility ID: H058
ICU Beds: 10
Alcohol/Drug Beds 0 OB Beds: 0
Rehab Beds: 0 Psych Beds: 0
NICU Beds: 0 Total Beds Lic: 64
Licensed Beds by Classification
Critical Access?
PPS rehab unit?
PPS psych unit?
Accredited?
CMS Provider#: 260190
by JointCom
County JACKSON
Hospital Type: General Acute Care Hospital
Swingbeds?
License Exp 07/31/2018License #: 505Trauma: III Stroke: II STEMITCD Level(s) [if applicable]:
Liberty Hospital2525 Glenn Hendren Drive LTC beds: 0Med/Surg Beds: 174
Pediatric Beds: 4Liberty, MO 64068
Administrator: David Feess, President/CEO
Phone: (816) 781-7200
Fax: (816) 792-7117
Facility ID: H059
ICU Beds: 20
Alcohol/Drug Beds 0 OB Beds: 24
Rehab Beds: 0 Psych Beds: 0
NICU Beds: 4 Total Beds Lic: 226
Licensed Beds by Classification
Critical Access?
PPS rehab unit?
PPS psych unit?
Accredited?
CMS Provider#: 260177
by JointCom
County CLAY
Hospital Type: General Acute Care Hospital
Swingbeds?
License Exp 01/31/2019License #: 269Trauma: II Stroke: STEMITCD Level(s) [if applicable]:
Wednesday, April 4, 2018 Page 9 of 24
Long-Term Acute Care Hospital, Mosaic5325 Faraon Street LTC beds: 0Med/Surg Beds: 41
Pediatric Beds: 0Saint Joseph, MO 64506
Administrator: Dana Anderson
Phone: (816) 271-5149
Fax: (816) 271-6656
Facility ID: H173
ICU Beds: 0
Alcohol/Drug Beds 0 OB Beds: 0
Rehab Beds: 0 Psych Beds: 0
NICU Beds: 0 Total Beds Lic: 41
Licensed Beds by Classification
Critical Access?
PPS rehab unit?
PPS psych unit?
Accredited?
CMS Provider#: 262019
County BUCHANAN
Hospital Type: Other Hospital Type
Swingbeds?
License Exp 02/28/2019License #: 513Trauma: II Stroke: STEMITCD Level(s) [if applicable]:
Macon County Samaritan Memorial Hos1205 North Missouri St LTC beds: 0Med/Surg Beds: 25
Pediatric Beds: 0Macon, MO 63552
Administrator: Bernard A. Orman, Jr., Administr
Phone: (660) 385-8700
Fax: (660) 385-8701
Facility ID: H061
ICU Beds: 0
Alcohol/Drug Beds 0 OB Beds: 0
Rehab Beds: 0 Psych Beds: 0
NICU Beds: 0 Total Beds Lic: 25
Licensed Beds by Classification
Critical Access?
PPS rehab unit?
PPS psych unit?
Accredited?
CMS Provider#: 261313
County MACON
Hospital Type: General Acute Care Hospital
Swingbeds?
License Exp 03/31/2019License #: 178Trauma: Stroke: STEMITCD Level(s) [if applicable]:
Madison Medical Center611 West Main Street LTC beds: 119Med/Surg Beds: 21
Pediatric Beds: 0Fredericktown, MO 63645
Administrator: Lisa Twidwell, CEO
Phone: (573) 783-3341
Fax: (573) 783-1096
Facility ID: H062
ICU Beds: 4
Alcohol/Drug Beds 0 OB Beds: 0
Rehab Beds: 0 Psych Beds: 0
NICU Beds: 0 Total Beds Lic: 144
Licensed Beds by Classification
Critical Access?
PPS rehab unit?
PPS psych unit?
Accredited?
CMS Provider#: 261302
County MADISON
Hospital Type: General Acute Care Hospital
Swingbeds?
License Exp 02/28/2019License #: 209Trauma: Stroke: STEMITCD Level(s) [if applicable]:
Mercy Hospital Aurora500 Porter Avenue LTC beds: 0Med/Surg Beds: 46
Pediatric Beds: 0Aurora, MO 65605
Administrator: Nicki Gamet, Administrator
Phone: (417) 678-2122
Fax: (417) 678-7877
Facility ID: H003
ICU Beds: 3
Alcohol/Drug Beds 0 OB Beds: 4
Rehab Beds: 0 Psych Beds: 0
NICU Beds: 0 Total Beds Lic: 53
Licensed Beds by Classification
Critical Access?
PPS rehab unit?
PPS psych unit?
Accredited?
CMS Provider#: 261316
by JointCom
County LAWRENCE
Hospital Type: General Acute Care Hospital
Swingbeds?
License Exp 10/31/2018License #: 469Trauma: Stroke: STEMITCD Level(s) [if applicable]:
Mercy Hospital Carthage3125 Dr Russell Smith Way LTC beds: 0Med/Surg Beds: 25
Pediatric Beds: 0Carthage, MO 64836
Administrator: Robert Scott Watson
Phone: (417) 358-8121
Fax: (417) 237-7237
Facility ID: H063
ICU Beds: 0
Alcohol/Drug Beds 0 OB Beds: 0
Rehab Beds: 0 Psych Beds: 0
NICU Beds: 0 Total Beds Lic: 25
Licensed Beds by Classification
Critical Access?
PPS rehab unit?
PPS psych unit?
Accredited?
CMS Provider#: 261338
County JASPER
Hospital Type: General Acute Care Hospital
Swingbeds?
License Exp 12/31/2018License #: 523Trauma: Stroke: STEMITCD Level(s) [if applicable]:
Mercy Hospital Cassville94 Main Street LTC beds: 0Med/Surg Beds: 18
Pediatric Beds: 0Cassville, MO 65625
Administrator: Nicki Gamet, Administrator
Phone: (417) 847-6097
Fax: (417) 847-6073
Facility ID: H101
ICU Beds: 0
Alcohol/Drug Beds 0 OB Beds: 0
Rehab Beds: 0 Psych Beds: 0
NICU Beds: 0 Total Beds Lic: 18
Licensed Beds by Classification
Critical Access?
PPS rehab unit?
PPS psych unit?
Accredited?
CMS Provider#: 261317
by JointCom
County BARRY
Hospital Type: General Acute Care Hospital
Swingbeds?
License Exp 11/30/2018License #: 470Trauma: Stroke: STEMITCD Level(s) [if applicable]:
Mercy Hospital Jefferson1400 Highway 61 South, P.O. Box 350 LTC beds: 0Med/Surg Beds: 245
Pediatric Beds: 0Crystal City, MO 63019
Administrator: Eric Ammons, President & CEO
Phone: (636) 933-1000
Fax: (636) 933-1119
Facility ID: H052
ICU Beds: 28
Alcohol/Drug Beds 0 OB Beds: 26
Rehab Beds: 42 Psych Beds: 0
NICU Beds: 0 Total Beds Lic: 341
Licensed Beds by Classification
Critical Access?
PPS rehab unit?
PPS psych unit?
Accredited?
CMS Provider#: 260023
by JointCom
County JEFFERSON
Hospital Type: General Acute Care Hospital
Swingbeds?
License Exp 01/31/2019License #: 529Trauma: Stroke: III STEMITCD Level(s) [if applicable]:
Wednesday, April 4, 2018 Page 10 of 24
Mercy Hospital Joplin100 Mercy Way LTC beds:Med/Surg Beds: 116
Pediatric Beds: 11Joplin, MO 64804
Administrator: Gary Pulsipher, CEO
Phone: (417) 781-2727
Fax: (417) 625-2910
Facility ID: H115
ICU Beds: 48
Alcohol/Drug Beds OB Beds: 19
Rehab Beds: Psych Beds: 32
NICU Beds: 14 Total Beds Lic: 240
Licensed Beds by Classification
Critical Access?
PPS rehab unit?
PPS psych unit?
Accredited?
CMS Provider#: 260001
by JointCom
County NEWTON
Hospital Type: General Acute Care Hospital
Swingbeds?
License Exp 02/28/2019License #: 540Trauma: II Stroke: STEMITCD Level(s) [if applicable]:
Mercy Hospital Lebanon100 Hospital Drive LTC beds: 0Med/Surg Beds: 44
Pediatric Beds: 0Lebanon, MO 65536
Administrator: Scott Childers, Administrator
Phone: (417) 533-6100
Fax: (417) 533-6021
Facility ID: H013
ICU Beds: 4
Alcohol/Drug Beds 0 OB Beds: 10
Rehab Beds: 0 Psych Beds: 0
NICU Beds: 0 Total Beds Lic: 58
Licensed Beds by Classification
Critical Access?
PPS rehab unit?
PPS psych unit?
Accredited?
CMS Provider#: 260059
by JointCom
County LACLEDE
Hospital Type: General Acute Care Hospital
Swingbeds?
License Exp 03/31/2019License #: 450Trauma: Stroke: STEMITCD Level(s) [if applicable]:
Mercy Hospital Lincoln1000 East Cherry St LTC beds: 0Med/Surg Beds: 21
Pediatric Beds: 0Troy, MO 63379
Administrator: Tony Rothermich, CEO
Phone: (636) 528-8551
Fax: (636) 528-3444
Facility ID: H060
ICU Beds: 4
Alcohol/Drug Beds 0 OB Beds: 0
Rehab Beds: 0 Psych Beds: 0
NICU Beds: 0 Total Beds Lic: 25
Licensed Beds by Classification
Critical Access?
PPS rehab unit?
PPS psych unit?
Accredited?
CMS Provider#: 261319
by JointCom
County LINCOLN
Hospital Type: General Acute Care Hospital
Swingbeds?
License Exp 02/28/2019License #: 539Trauma: Stroke: STEMITCD Level(s) [if applicable]:
Mercy Hospital Springfield1235 East Cherokee Street LTC beds: 0Med/Surg Beds: 594
Pediatric Beds: 29Springfield, MO 65804
Administrator: Jon Swope, President
Phone: (417) 885-2000
Fax: (417) 888-8730
Facility ID: H114
ICU Beds: 118
Alcohol/Drug Beds 0 OB Beds: 25
Rehab Beds: 0 Psych Beds: 37
NICU Beds: 63 Total Beds Lic: 866
Licensed Beds by Classification
Critical Access?
PPS rehab unit?
PPS psych unit?
Accredited?
CMS Provider#: 260065
by JointCom
County GREENE
Hospital Type: General Acute Care Hospital
Swingbeds?
License Exp 06/30/2018License #: 38Trauma: I Stroke: II STEMITCD Level(s) [if applicable]:
Mercy Hospital St. Louis615 South New Ballas Road LTC beds: 0Med/Surg Beds: 394
Pediatric Beds: 56St. Louis, MO 63141
Administrator: Stephen Mackin, CEO
Phone: (314) 251-6000
Fax: (314) 569-6910
Facility ID: H113
ICU Beds: 69
Alcohol/Drug Beds 0 OB Beds: 139
Rehab Beds: 0 Psych Beds: 87
NICU Beds: 126 Total Beds Lic: 871
Licensed Beds by Classification
Critical Access?
PPS rehab unit?
PPS psych unit?
Accredited?
CMS Provider#: 260020
by JointCom
County ST LOUIS
Hospital Type: General Acute Care Hospital
Swingbeds?
License Exp 11/30/2018License #: 226Trauma: I Stroke: I STEMITCD Level(s) [if applicable]:
Mercy Hospital Washington901 East 5th Street LTC beds: 0Med/Surg Beds: 106
Pediatric Beds: 6Washington, MO 63090
Administrator: Eric Eoloff, President
Phone: (636) 239-8000
Fax: (314) 569-6733
Facility ID: H112
ICU Beds: 13
Alcohol/Drug Beds 0 OB Beds: 23
Rehab Beds: 0 Psych Beds: 0
NICU Beds: 0 Total Beds Lic: 148
Licensed Beds by Classification
Critical Access?
PPS rehab unit?
PPS psych unit?
Accredited?
CMS Provider#: 260052
by JointCom
County FRANKLIN
Hospital Type: General Acute Care Hospital
Swingbeds?
License Exp 04/30/2018License #: 311Trauma: III Stroke: II STEMITCD Level(s) [if applicable]:
Mercy Orthopedic Hospital Springfield3050 E Riverbluff Boulevard LTC beds: 0Med/Surg Beds: 48
Pediatric Beds: 0Ozark, MO 65721
Administrator: Dr. Alan Scarrow, President
Phone: (417) 885-3000
Fax:
Facility ID: H182
ICU Beds: 0
Alcohol/Drug Beds 0 OB Beds: 0
Rehab Beds: 0 Psych Beds: 0
NICU Beds: 0 Total Beds Lic: 48
Licensed Beds by Classification
Critical Access?
PPS rehab unit?
PPS psych unit?
Accredited?
CMS Provider#: 260065
by JointCom
County GREENE
Hospital Type: General Acute Care Hospital
Swingbeds?
License Exp 06/30/2018License #: 38Trauma: Stroke: STEMITCD Level(s) [if applicable]:
Wednesday, April 4, 2018 Page 11 of 24
Mercy Rehabilitation Hospital Springfiel5904 S Southwood Road LTC beds: 0Med/Surg Beds: 0
Pediatric Beds: 0Springfield, MO 65804
Administrator: Jay Guffey, CEO
Phone: (417) 227-9000
Fax:
Facility ID: H184
ICU Beds: 0
Alcohol/Drug Beds 0 OB Beds: 0
Rehab Beds: 60 Psych Beds: 0
NICU Beds: 0 Total Beds Lic: 60
Licensed Beds by Classification
Critical Access?
PPS rehab unit?
PPS psych unit?
Accredited?
CMS Provider#: 263032
by JointCom
County GREENE
Hospital Type: Rehabilitation Hospital
Swingbeds?
License Exp 03/31/2019License #: 533Trauma: Stroke: STEMITCD Level(s) [if applicable]:
Mercy Rehabilitation Hospital St. Louis14561 North Outer Forty LTC beds: 0Med/Surg Beds: 0
Pediatric Beds: 0Chesterfield, MO 63017
Administrator: Julie Bantle, CEO
Phone: (636) 368-4000
Fax: (636) 368-4185
Facility ID: H164
ICU Beds: 0
Alcohol/Drug Beds 0 OB Beds: 0
Rehab Beds: 90 Psych Beds: 0
NICU Beds: 0 Total Beds Lic: 90
Licensed Beds by Classification
Critical Access?
PPS rehab unit?
PPS psych unit?
Accredited?
CMS Provider#: 263029
by JointCom
County ST LOUIS
Hospital Type: Rehabilitation Hospital
Swingbeds?
License Exp 06/30/2018License #: 504Trauma: Stroke: STEMITCD Level(s) [if applicable]:
Mercy St. Francis Hospital100 West Highway 60, PO Box 82 LTC beds: 0Med/Surg Beds: 25
Pediatric Beds: 0Mountain View, MO 65548
Administrator: Cindy Weatherford, CEO
Phone: (417) 934-7000
Fax: (417) 934-7092
Facility ID: H109
ICU Beds: 0
Alcohol/Drug Beds 0 OB Beds: 0
Rehab Beds: 0 Psych Beds: 0
NICU Beds: 0 Total Beds Lic: 25
Licensed Beds by Classification
Critical Access?
PPS rehab unit?
PPS psych unit?
Accredited?
CMS Provider#: 261335
by JointCom
County HOWELL
Hospital Type: General Acute Care Hospital
Swingbeds?
License Exp 09/30/2018License #: 447Trauma: Stroke: STEMITCD Level(s) [if applicable]:
Metropolitan St. Louis Psychiatric Cent5351 Delmar Blvd. LTC beds: 0Med/Surg Beds: 0
Pediatric Beds: 0St. Louis, MO 63112
Administrator: Michael Anderson
Phone: (314) 877-0500
Fax:
Facility ID: P002
ICU Beds: 0
Alcohol/Drug Beds 0 OB Beds: 0
Rehab Beds: 0 Psych Beds: 0
NICU Beds: 0 Total Beds Lic: 0
Licensed Beds by Classification
Critical Access?
PPS rehab unit?
PPS psych unit?
Accredited?
CMS Provider#: 264025
by JointCom
County ST LOUIS CIT
Hospital Type: Psychiatric Hospital
Swingbeds?
License ExpLicense #:Trauma: Stroke: STEMITCD Level(s) [if applicable]:
Missouri Baptist Medical Center3015 North Ballas Road LTC beds: 0Med/Surg Beds: 328
Pediatric Beds: 6Town & Country, MO 63131
Administrator: John D. Antes, CEO/President
Phone: (314) 996-5040
Fax: (314) 996-5250
Facility ID: H067
ICU Beds: 40
Alcohol/Drug Beds 0 OB Beds: 70
Rehab Beds: 20 Psych Beds: 0
NICU Beds: 25 Total Beds Lic: 489
Licensed Beds by Classification
Critical Access?
PPS rehab unit?
PPS psych unit?
Accredited?
CMS Provider#: 260108
by JointCom
County ST LOUIS
Hospital Type: General Acute Care Hospital
Swingbeds?
License Exp 11/30/2018License #: 234Trauma: Stroke: II STEMITCD Level(s) [if applicable]:
Missouri Baptist Sullivan Hospital751 Sappington Bridge Road, PO Box 190 LTC beds: 0Med/Surg Beds: 13
Pediatric Beds: 1Sullivan, MO 63080
Administrator: Tony Schwarm
Phone: (573) 468-1343
Fax: (573) 860-2696
Facility ID: H066
ICU Beds: 6
Alcohol/Drug Beds 0 OB Beds: 5
Rehab Beds: 0 Psych Beds: 10
NICU Beds: 0 Total Beds Lic: 35
Licensed Beds by Classification
Critical Access?
PPS rehab unit?
PPS psych unit?
Accredited?
CMS Provider#: 261337
County CRAWFORD
Hospital Type: General Acute Care Hospital
Swingbeds?
License Exp 08/31/2018License #: 355Trauma: Stroke: STEMITCD Level(s) [if applicable]:
Missouri Delta Medical Center1008 North Main Street LTC beds: 0Med/Surg Beds: 91
Pediatric Beds: 6Sikeston, MO 63801
Administrator: Jason Schrumpf, President
Phone: (573) 471-1600
Fax: (573) 472-7606
Facility ID: H068
ICU Beds: 12
Alcohol/Drug Beds 0 OB Beds: 8
Rehab Beds: 11 Psych Beds: 12
NICU Beds: 4 Total Beds Lic: 144
Licensed Beds by Classification
Critical Access?
PPS rehab unit?
PPS psych unit?
Accredited?
CMS Provider#: 260113
by JointCom
County SCOTT
Hospital Type: General Acute Care Hospital
Swingbeds?
License Exp 08/31/2018License #: 100Trauma: Stroke: STEMITCD Level(s) [if applicable]:
Wednesday, April 4, 2018 Page 12 of 24
Moberly Regional Medical Center1515 Union Avenue LTC beds: 0Med/Surg Beds: 70
Pediatric Beds: 0Moberly, MO 65270
Administrator: Ranee Brayton, CEO
Phone: (660) 263-8400
Fax: (660) 269-3091
Facility ID: H070
ICU Beds: 8
Alcohol/Drug Beds 0 OB Beds: 0
Rehab Beds: 0 Psych Beds: 21
NICU Beds: 0 Total Beds Lic: 99
Licensed Beds by Classification
Critical Access?
PPS rehab unit?
PPS psych unit?
Accredited?
CMS Provider#: 260074
by JointCom
County RANDOLPH
Hospital Type: General Acute Care Hospital
Swingbeds?
License Exp 12/31/2018License #: 506Trauma: Stroke: STEMITCD Level(s) [if applicable]:
Mosaic Life Care at St. Joseph5325 Faraon Street LTC beds: 0Med/Surg Beds: 274
Pediatric Beds: 15St. Joseph, MO 64506
Administrator: Mark Laney, MD
Phone: (816) 271-6000
Fax: (816) 271-6656
Facility ID: H047
ICU Beds: 21
Alcohol/Drug Beds 0 OB Beds: 18
Rehab Beds: 0 Psych Beds: 24
NICU Beds: 0 Total Beds Lic: 352
Licensed Beds by Classification
Critical Access?
PPS rehab unit?
PPS psych unit?
Accredited?
CMS Provider#: 260006
by JointCom
County BUCHANAN
Hospital Type: General Acute Care Hospital
Swingbeds?
License Exp 11/30/2018License #: 426Trauma: II Stroke: STEMITCD Level(s) [if applicable]:
Nevada Regional Medical Center800 South Ash Street LTC beds: 0Med/Surg Beds: 29
Pediatric Beds: 0Nevada, MO 64772
Administrator: Wesley Braman, CEO
Phone: (417) 667-3355
Fax: (417) 448-3848
Facility ID: H071
ICU Beds: 6
Alcohol/Drug Beds 0 OB Beds: 6
Rehab Beds: 0 Psych Beds: 30
NICU Beds: 0 Total Beds Lic: 71
Licensed Beds by Classification
Critical Access?
PPS rehab unit?
PPS psych unit?
Accredited?
CMS Provider#: 260061
by CIHQ
County VERNON
Hospital Type: General Acute Care Hospital
Swingbeds?
License Exp 04/30/2018License #: 190Trauma: Stroke: STEMITCD Level(s) [if applicable]:
North Kansas City Hospital2800 Clay Edwards Drive LTC beds: 0Med/Surg Beds: 296
Pediatric Beds: 10North Kansas City, MO 64116
Administrator: Peggy Schmitt, President/CEO
Phone: (816) 691-2000
Fax: (816) 691-1097
Facility ID: H073
ICU Beds: 40
Alcohol/Drug Beds 0 OB Beds: 39
Rehab Beds: 48 Psych Beds: 0
NICU Beds: 18 Total Beds Lic: 451
Licensed Beds by Classification
Critical Access?
PPS rehab unit?
PPS psych unit?
Accredited?
CMS Provider#: 260096
by JointCom
County CLAY
Hospital Type: General Acute Care Hospital
Swingbeds?
License Exp 05/31/2018License #: 166Trauma: II Stroke: STEMITCD Level(s) [if applicable]:
Northeast Regional Medical Center315 South Osteopathy, P.O. Box C8502 LTC beds: 0Med/Surg Beds: 69
Pediatric Beds: 0Kirksville, MO 63501
Administrator: Ranee Brayton, CEO
Phone: (660) 785-1000
Fax: (660) 785-1110
Facility ID: H074
ICU Beds: 10
Alcohol/Drug Beds 0 OB Beds: 14
Rehab Beds: 0 Psych Beds: 0
NICU Beds: 0 Total Beds Lic: 93
Licensed Beds by Classification
Critical Access?
PPS rehab unit?
PPS psych unit?
Accredited?
CMS Provider#: 260022
by AOA
County ADAIR
Hospital Type: General Acute Care Hospital
Swingbeds?
License Exp 11/30/2018License #: 462Trauma: III Stroke: STEMITCD Level(s) [if applicable]:
Northwest Medical Center705 N. College Street LTC beds: 0Med/Surg Beds: 35
Pediatric Beds: 0Albany, MO 64402
Administrator: Jon D. Doolitle, President/CEO
Phone: (660) 726-3941
Fax: (660) 726-3647
Facility ID: H042
ICU Beds: 0
Alcohol/Drug Beds 0 OB Beds: 0
Rehab Beds: 0 Psych Beds: 0
NICU Beds: 0 Total Beds Lic: 35
Licensed Beds by Classification
Critical Access?
PPS rehab unit?
PPS psych unit?
Accredited?
CMS Provider#: 261328
County GENTRY
Hospital Type: General Acute Care Hospital
Swingbeds?
License Exp 06/30/2018License #: 98Trauma: Stroke: STEMITCD Level(s) [if applicable]:
Northwest MO Psychiatric Rehab Ctr3505 Frederick Avenue LTC beds: 0Med/Surg Beds: 0
Pediatric Beds: 0St. Joseph, MO 64506
Administrator: Mary Attebury
Phone: (816) 387-2300
Fax:
Facility ID: P004
ICU Beds: 0
Alcohol/Drug Beds 0 OB Beds: 0
Rehab Beds: 0 Psych Beds: 0
NICU Beds: 0 Total Beds Lic: 0
Licensed Beds by Classification
Critical Access?
PPS rehab unit?
PPS psych unit?
Accredited?
CMS Provider#: 264007
by JointCom
County BUCHANAN
Hospital Type: Psychiatric Hospital
Swingbeds?
License ExpLicense #:Trauma: Stroke: STEMITCD Level(s) [if applicable]:
Wednesday, April 4, 2018 Page 13 of 24
Osage Beach Center for Cognitive Disor840 Passover Road LTC beds: 0Med/Surg Beds: 0
Pediatric Beds: 0Osage Beach, MO 650652834
Administrator: Thomas Flanagan, CEO
Phone: (573) 302-0319
Fax:
Facility ID: H185
ICU Beds: 0
Alcohol/Drug Beds 0 OB Beds: 0
Rehab Beds: 0 Psych Beds: 14
NICU Beds: 0 Total Beds Lic: 14
Licensed Beds by Classification
Critical Access?
PPS rehab unit?
PPS psych unit?
Accredited?
CMS Provider#: 264031
by JointCom
County CAMDEN
Hospital Type: Psychiatric Hospital
Swingbeds?
License Exp 05/31/2018License #: 534Trauma: Stroke: STEMITCD Level(s) [if applicable]:
Ozarks Medical Center1100 Kentucky Avenue, P.O. Box 1100 LTC beds: 0Med/Surg Beds: 64
Pediatric Beds: 0West Plains, MO 65775
Administrator: Tom Keller, President & CEO
Phone: (417) 256-9111
Fax: (417) 257-6770
Facility ID: H076
ICU Beds: 12
Alcohol/Drug Beds 0 OB Beds: 16
Rehab Beds: 0 Psych Beds: 22
NICU Beds: 0 Total Beds Lic: 114
Licensed Beds by Classification
Critical Access?
PPS rehab unit?
PPS psych unit?
Accredited?
CMS Provider#: 260078
by JointCom
County HOWELL
Hospital Type: General Acute Care Hospital
Swingbeds?
License Exp 01/31/2019License #: 174Trauma: Stroke: II STEMITCD Level(s) [if applicable]:
Parkland Health Center-Bonne Terre7245 Raider Road LTC beds: 0Med/Surg Beds: 3
Pediatric Beds: 0Bonne Terre, MO 63628
Administrator: Christine Westrich, President
Phone: (573) 358-1400
Fax: (573) 760-8168
Facility ID: H077
ICU Beds: 0
Alcohol/Drug Beds 0 OB Beds: 0
Rehab Beds: 0 Psych Beds: 0
NICU Beds: 0 Total Beds Lic: 3
Licensed Beds by Classification
Critical Access?
PPS rehab unit?
PPS psych unit?
Accredited?
CMS Provider#: 261315
County ST FRANCOIS
Hospital Type: General Acute Care Hospital
Swingbeds?
License Exp 12/31/2018License #: 474Trauma: Stroke: STEMITCD Level(s) [if applicable]:
Parkland Health Center-Farmington1101 West Liberty Street LTC beds: 0Med/Surg Beds: 81
Pediatric Beds: 0Farmington, MO 63640
Administrator: Thomas P. Karl
Phone: (573) 756-6451
Fax: (573) 756-1408
Facility ID: H078
ICU Beds: 10
Alcohol/Drug Beds 0 OB Beds: 23
Rehab Beds: 0 Psych Beds: 16
NICU Beds: 0 Total Beds Lic: 130
Licensed Beds by Classification
Critical Access?
PPS rehab unit?
PPS psych unit?
Accredited?
CMS Provider#: 260163
by JointCom
County ST FRANCOIS
Hospital Type: General Acute Care Hospital
Swingbeds?
License Exp 10/31/2018License #: 379Trauma: Stroke: STEMITCD Level(s) [if applicable]:
Pemiscot County Memorial Hospital946 East Reed LTC beds: 66Med/Surg Beds: 42
Pediatric Beds: 0Hayti, MO 63851
Administrator: Mark Davis, CEO
Phone: (573) 359-1372
Fax: (573) 359-3601
Facility ID: H079
ICU Beds: 7
Alcohol/Drug Beds 0 OB Beds: 0
Rehab Beds: 0 Psych Beds: 52
NICU Beds: 0 Total Beds Lic: 167
Licensed Beds by Classification
Critical Access?
PPS rehab unit?
PPS psych unit?
Accredited?
CMS Provider#: 260070
County PEMISCOT
Hospital Type: General Acute Care Hospital
Swingbeds?
License Exp 06/30/2018License #: 15Trauma: Stroke: STEMITCD Level(s) [if applicable]:
Perry County Memorial Hospital434 North West Street LTC beds: 0Med/Surg Beds: 22
Pediatric Beds: 0Perryville, MO 63775
Administrator: Patrick Carron, President/CEO
Phone: (573) 547-2530
Fax: (573) 547-2530
Facility ID: H080
ICU Beds: 0
Alcohol/Drug Beds 0 OB Beds: 3
Rehab Beds: 0 Psych Beds: 0
NICU Beds: 0 Total Beds Lic: 25
Licensed Beds by Classification
Critical Access?
PPS rehab unit?
PPS psych unit?
Accredited?
CMS Provider#: 261311
by JointCom
County PERRY
Hospital Type: General Acute Care Hospital
Swingbeds?
License Exp 03/31/2019License #: 442Trauma: Stroke: III STEMITCD Level(s) [if applicable]:
Pershing (General John J) Memorial Ho130 East Lockling LTC beds: 0Med/Surg Beds: 54
Pediatric Beds: 0Brookfield, MO 64628
Administrator: Phil Hamilton, Adm/CEO
Phone: (660) 258-2222
Fax: (660) 258-5668
Facility ID: H081
ICU Beds: 0
Alcohol/Drug Beds 0 OB Beds: 0
Rehab Beds: 0 Psych Beds: 0
NICU Beds: 0 Total Beds Lic: 54
Licensed Beds by Classification
Critical Access?
PPS rehab unit?
PPS psych unit?
Accredited?
CMS Provider#: 261307
County LINN
Hospital Type: General Acute Care Hospital
Swingbeds?
License Exp 12/31/2018License #: 198Trauma: Stroke: STEMITCD Level(s) [if applicable]:
Wednesday, April 4, 2018 Page 14 of 24
Phelps County Regional Medical Center1000 West Tenth Street LTC beds: 20Med/Surg Beds: 118
Pediatric Beds: 18Rolla, MO 65401
Administrator: Edward J. Clayton, CEO
Phone: (573) 364-8899
Fax: (573) 364-5110
Facility ID: H082
ICU Beds: 18
Alcohol/Drug Beds 0 OB Beds: 20
Rehab Beds: 30 Psych Beds: 18
NICU Beds: 0 Total Beds Lic: 242
Licensed Beds by Classification
Critical Access?
PPS rehab unit?
PPS psych unit?
Accredited?
CMS Provider#: 260017
by JointCom
County PHELPS
Hospital Type: General Acute Care Hospital
Swingbeds?
License Exp 06/30/2018License #: 14Trauma: Stroke: II STEMITCD Level(s) [if applicable]:
Pike County Memorial Hospital2305 Georgia Street LTC beds: 0Med/Surg Beds: 25
Pediatric Beds: 0Louisiana, MO 63353
Administrator: Justin Selle, CEO
Phone: (573) 754-5531
Fax: (573) 754-5874
Facility ID: H083
ICU Beds: 0
Alcohol/Drug Beds 0 OB Beds: 0
Rehab Beds: 0 Psych Beds: 0
NICU Beds: 0 Total Beds Lic: 25
Licensed Beds by Classification
Critical Access?
PPS rehab unit?
PPS psych unit?
Accredited?
CMS Provider#: 261333
by JointCom
County PIKE
Hospital Type: General Acute Care Hospital
Swingbeds?
License Exp 07/31/2018License #: 85Trauma: Stroke: STEMITCD Level(s) [if applicable]:
Poplar Bluff Regional Medical Center3100 Oak Grove Road LTC beds: 0Med/Surg Beds: 152
Pediatric Beds: 24Poplar Bluff, MO 63901
Administrator: Larry Rodgers, CEO
Phone: (573) 785-7721
Fax:
Facility ID: H180
ICU Beds: 28
Alcohol/Drug Beds 0 OB Beds: 38
Rehab Beds: 0 Psych Beds: 0
NICU Beds: 0 Total Beds Lic: 412
Licensed Beds by Classification
Critical Access?
PPS rehab unit?
PPS psych unit?
Accredited?
CMS Provider#: 260119
by JointCom
County BUTLER
Hospital Type: General Acute Care Hospital
Swingbeds?
License Exp 12/31/2018License #: 527Trauma: Stroke: II STEMITCD Level(s) [if applicable]:
Poplar Bluff Regional Medical Center2620 North Westwood Boulevard LTC beds: 0Med/Surg Beds: 104
Pediatric Beds: 0Poplar Bluff, MO 63901
Administrator: Bryan Bateman, CEO
Phone: (573) 785-7721
Fax: (573) 727-2498
Facility ID: H134
ICU Beds: 6
Alcohol/Drug Beds 0 OB Beds: 0
Rehab Beds: 20 Psych Beds: 40
NICU Beds: 0 Total Beds Lic: 170
Licensed Beds by Classification
Critical Access?
PPS rehab unit?
PPS psych unit?
Accredited?
CMS Provider#: 260119
by JointCom
County BUTLER
Hospital Type: General Acute Care Hospital
Swingbeds?
License Exp 12/31/2018License #: 527Trauma: Stroke: STEMITCD Level(s) [if applicable]:
Progress West Hospital2 Progress Point Pkwy LTC beds: 0Med/Surg Beds: 42
Pediatric Beds: 0O'Fallon, MO 63368
Administrator: Christopher Watts, CEO
Phone: (636) 344-1000
Fax:
Facility ID: H162
ICU Beds: 6
Alcohol/Drug Beds 0 OB Beds: 20
Rehab Beds: 0 Psych Beds: 0
NICU Beds: 8 Total Beds Lic: 76
Licensed Beds by Classification
Critical Access?
PPS rehab unit?
PPS psych unit?
Accredited?
CMS Provider#: 260219
by JointCom
County ST CHARLES
Hospital Type: General Acute Care Hospital
Swingbeds?
License Exp 01/31/2019License #: 502Trauma: Stroke: II STEMITCD Level(s) [if applicable]:
Putnam County Memorial Hospital1926 Oak Street, P.O. Box 389 LTC beds: 0Med/Surg Beds: 15
Pediatric Beds: 0Unionville, MO 63565
Administrator: Gayle Pickens, CEO
Phone: (660) 947-2411
Fax: (660) 947-3825
Facility ID: H084
ICU Beds: 0
Alcohol/Drug Beds 0 OB Beds: 0
Rehab Beds: 0 Psych Beds: 0
NICU Beds: 0 Total Beds Lic: 15
Licensed Beds by Classification
Critical Access?
PPS rehab unit?
PPS psych unit?
Accredited?
CMS Provider#: 261305
County PUTNAM
Hospital Type: General Acute Care Hospital
Swingbeds?
License Exp 09/30/2018License #: 222Trauma: Stroke: STEMITCD Level(s) [if applicable]:
Ranken Jordan A Pediatric Rehabilitatio11365 Dorsett Road LTC beds: 0Med/Surg Beds: 0
Pediatric Beds: 60Maryland Heights, MO 63043
Administrator: Laureen K. Tanner, RN, MSN
Phone: (314) 872-6400
Fax: (314) 872-6500
Facility ID: H150
ICU Beds: 0
Alcohol/Drug Beds 0 OB Beds: 0
Rehab Beds: 0 Psych Beds: 0
NICU Beds: 0 Total Beds Lic: 60
Licensed Beds by Classification
Critical Access?
PPS rehab unit?
PPS psych unit?
Accredited?
CMS Provider#: 263303
County ST LOUIS
Hospital Type: General Acute Care Hospital
Swingbeds?
License Exp 06/30/2018License #: 472Trauma: Stroke: STEMITCD Level(s) [if applicable]:
Wednesday, April 4, 2018 Page 15 of 24
Ray County Memorial Hospital904 Wollard Boulevard LTC beds: 0Med/Surg Beds: 34
Pediatric Beds: 0Richmond, MO 64085
Administrator: Earl Sheehy, Administrator
Phone: (816) 470-5432
Fax: (816) 470-2331
Facility ID: H085
ICU Beds: 0
Alcohol/Drug Beds 0 OB Beds: 0
Rehab Beds: 0 Psych Beds: 0
NICU Beds: 0 Total Beds Lic: 34
Licensed Beds by Classification
Critical Access?
PPS rehab unit?
PPS psych unit?
Accredited?
CMS Provider#: 261327
County RAY
Hospital Type: General Acute Care Hospital
Swingbeds?
License Exp 08/31/2018License #: 93Trauma: Stroke: STEMITCD Level(s) [if applicable]:
Research Medical Center2316 East Meyer Boulevard LTC beds: 0Med/Surg Beds: 338
Pediatric Beds: 0Kansas City, MO 64132
Administrator: Jackie DeSouza, CEO
Phone: (816) 276-4000
Fax: (816) 276-4387
Facility ID: H089
ICU Beds: 40
Alcohol/Drug Beds 0 OB Beds: 38
Rehab Beds: 27 Psych Beds: 25
NICU Beds: 19 Total Beds Lic: 487
Licensed Beds by Classification
Critical Access?
PPS rehab unit?
PPS psych unit?
Accredited?
CMS Provider#: 260027
by JointCom
County JACKSON
Hospital Type: General Acute Care Hospital
Swingbeds?
License Exp 03/31/2019License #: 497Trauma: I Stroke: I STEMITCD Level(s) [if applicable]:
Research Medical Center - Brookside C6601 Rockhill Road LTC beds: 0Med/Surg Beds: 3
Pediatric Beds: 0Kansas City, MO 64131
Administrator: Jackie DeSouza, CEO
Phone: (816) 276-4000
Fax: (816) 926-2266
Facility ID: H004
ICU Beds: 0
Alcohol/Drug Beds 0 OB Beds: 0
Rehab Beds: 0 Psych Beds: 0
NICU Beds: 0 Total Beds Lic: 3
Licensed Beds by Classification
Critical Access?
PPS rehab unit?
PPS psych unit?
Accredited?
CMS Provider#: 260027
by JointCom
County JACKSON
Hospital Type: General Acute Care Hospital
Swingbeds?
License Exp 03/31/2019License #: 497Trauma: Stroke: STEMITCD Level(s) [if applicable]:
Research Psychiatric Center - A Campu2323 East 63rd Street LTC beds: 0Med/Surg Beds: 0
Pediatric Beds: 0Kansas City, MO 64130
Administrator: Shannon Griggs, CEO
Phone: (816) 444-8161
Fax: (816) 333-4495
Facility ID: H090
ICU Beds: 0
Alcohol/Drug Beds 0 OB Beds: 0
Rehab Beds: 0 Psych Beds: 100
NICU Beds: 0 Total Beds Lic: 100
Licensed Beds by Classification
Critical Access?
PPS rehab unit?
PPS psych unit?
Accredited?
CMS Provider#: 260027
by JointCom
County JACKSON
Hospital Type: Psychiatric Hospital
Swingbeds?
License Exp 03/31/2019License #: 497Trauma: Stroke: STEMITCD Level(s) [if applicable]:
Royal Oaks Hospital, Inc.307 North Main LTC beds: 0Med/Surg Beds: 0
Pediatric Beds: 0Windsor, MO 65360
Administrator: Alan W. Griemann, President/C
Phone: (660) 647-2182
Fax: (660) 647-2217
Facility ID: H093
ICU Beds: 0
Alcohol/Drug Beds 0 OB Beds: 0
Rehab Beds: 0 Psych Beds: 41
NICU Beds: 0 Total Beds Lic: 41
Licensed Beds by Classification
Critical Access?
PPS rehab unit?
PPS psych unit?
Accredited?
CMS Provider#: 264020
by JointCom
County HENRY
Hospital Type: Psychiatric Hospital
Swingbeds?
License Exp 07/31/2018License #: 488Trauma: Stroke: STEMITCD Level(s) [if applicable]:
Rusk Rehab Center, A JV of HealthSout315 Business Loop 70 West LTC beds: 0Med/Surg Beds: 0
Pediatric Beds: 0Columbia, MO 65203
Administrator: John Dawes, CEO
Phone: (573) 817-2703
Fax: (573) 817-4690
Facility ID: H094
ICU Beds: 0
Alcohol/Drug Beds 0 OB Beds: 0
Rehab Beds: 60 Psych Beds: 0
NICU Beds: 0 Total Beds Lic: 60
Licensed Beds by Classification
Critical Access?
PPS rehab unit?
PPS psych unit?
Accredited?
CMS Provider#: 263027
by JointCom
County BOONE
Hospital Type: Rehabilitation Hospital
Swingbeds?
License Exp 04/30/2018License #: 433Trauma: Stroke: STEMITCD Level(s) [if applicable]:
Saint Francis Medical Center211 Saint Francis Drive LTC beds: 0Med/Surg Beds: 190
Pediatric Beds: 8Cape Girardeau, MO 63703
Administrator: Steven C. Bjelich, Pres/CEO
Phone: (573) 331-3000
Fax: (573) 331-5009
Facility ID: H111
ICU Beds: 32
Alcohol/Drug Beds 0 OB Beds: 18
Rehab Beds: 24 Psych Beds: 0
NICU Beds: 36 Total Beds Lic: 308
Licensed Beds by Classification
Critical Access?
PPS rehab unit?
PPS psych unit?
Accredited?
CMS Provider#: 260183
by JointCom
County CAPE GIRARD
Hospital Type: General Acute Care Hospital
Swingbeds?
License Exp 09/30/2018License #: 284Trauma: III Stroke: II STEMITCD Level(s) [if applicable]:
Wednesday, April 4, 2018 Page 16 of 24
Saint Luke's East Lee's Summit Hospita100 N. E. Saint Luke's Boulevard LTC beds: 0Med/Surg Beds: 145
Pediatric Beds: 0Lee's Summit, MO 64086
Administrator: Ronald L. Baker, CEO
Phone: (816) 347-5000
Fax: (816) 347-4884
Facility ID: H159
ICU Beds: 16
Alcohol/Drug Beds 0 OB Beds: 28
Rehab Beds: 0 Psych Beds: 0
NICU Beds: 14 Total Beds Lic: 203
Licensed Beds by Classification
Critical Access?
PPS rehab unit?
PPS psych unit?
Accredited?
CMS Provider#: 260216
by JointCom
County JACKSON
Hospital Type: General Acute Care Hospital
Swingbeds?
License Exp 01/31/2019License #: 495Trauma: III Stroke: II STEMITCD Level(s) [if applicable]:
Saint Luke's Hospital of Kansas City4401 Wornall Road LTC beds: 0Med/Surg Beds: 327
Pediatric Beds: 0Kansas City, MO 64111
Administrator: Jani L. Johnson, CEO
Phone: (816) 932-2000
Fax: (816) 932-5990
Facility ID: H125
ICU Beds: 77
Alcohol/Drug Beds 0 OB Beds: 80
Rehab Beds: 17 Psych Beds: 0
NICU Beds: 63 Total Beds Lic: 564
Licensed Beds by Classification
Critical Access?
PPS rehab unit?
PPS psych unit?
Accredited?
CMS Provider#: 260138
by JointCom
County JACKSON
Hospital Type: General Acute Care Hospital
Swingbeds?
License Exp 07/31/2018License #: 87Trauma: I Stroke: I STEMITCD Level(s) [if applicable]:
Saint Luke's North Hospital5830 NW Barry Road LTC beds: 0Med/Surg Beds: 52
Pediatric Beds: 0Kansas City, MO 64154
Administrator: Adele Ducharme, CEO
Phone: (816) 891-6000
Fax: (816) 880-6155
Facility ID: H126
ICU Beds: 18
Alcohol/Drug Beds 0 OB Beds: 21
Rehab Beds: 0 Psych Beds: 0
NICU Beds: 4 Total Beds Lic: 97
Licensed Beds by Classification
Critical Access?
PPS rehab unit?
PPS psych unit?
Accredited?
CMS Provider#: 260062
by JointCom
County PLATTE
Hospital Type: General Acute Care Hospital
Swingbeds?
License Exp 01/31/2019License #: 365Trauma: Stroke: III STEMITCD Level(s) [if applicable]:
Saint Luke's North Hospital601 South 169 Highway LTC beds: 0Med/Surg Beds: 0
Pediatric Beds: 0Smithville, MO 64089
Administrator: Adele Ducharme, CEO
Phone: (816) 532-7765
Fax: (816) 532-7136
Facility ID: H127
ICU Beds: 0
Alcohol/Drug Beds 0 OB Beds: 0
Rehab Beds: 16 Psych Beds: 48
NICU Beds: 0 Total Beds Lic: 64
Licensed Beds by Classification
Critical Access?
PPS rehab unit?
PPS psych unit?
Accredited?
CMS Provider#: 260062
by JointCom
County CLAY
Hospital Type: General Acute Care Hospital
Swingbeds?
License Exp 06/30/2018License #: 43Trauma: Stroke: STEMITCD Level(s) [if applicable]:
Salem Memorial District Hospital35629 Hwy 72, PO Box 774 LTC beds: 18Med/Surg Beds: 34
Pediatric Beds: 0Salem, MO 65560
Administrator: Kasey Lucas, Administrator
Phone: (573) 729-6626
Fax: (573) 729-4511
Facility ID: H096
ICU Beds: 0
Alcohol/Drug Beds 0 OB Beds: 3
Rehab Beds: 0 Psych Beds: 0
NICU Beds: 0 Total Beds Lic: 55
Licensed Beds by Classification
Critical Access?
PPS rehab unit?
PPS psych unit?
Accredited?
CMS Provider#: 261318
County DENT
Hospital Type: General Acute Care Hospital
Swingbeds?
License Exp 07/31/2018License #: 252Trauma: Stroke: STEMITCD Level(s) [if applicable]:
Scotland County Hospital450 E. Sigler Avenue LTC beds: 0Med/Surg Beds: 19
Pediatric Beds: 2Memphis, MO 63555
Administrator: Randall Tobler, Interim CEO
Phone: (660) 465-8511
Fax: (660) 465-2513
Facility ID: H097
ICU Beds: 2
Alcohol/Drug Beds 0 OB Beds: 2
Rehab Beds: 0 Psych Beds: 0
NICU Beds: 0 Total Beds Lic: 25
Licensed Beds by Classification
Critical Access?
PPS rehab unit?
PPS psych unit?
Accredited?
CMS Provider#: 261310
County SCOTLAND
Hospital Type: General Acute Care Hospital
Swingbeds?
License Exp 12/31/2018License #: 363Trauma: Stroke: STEMITCD Level(s) [if applicable]:
Select Specialty Hospital - Springfield1630 East Primrose Street LTC beds: 0Med/Surg Beds: 38
Pediatric Beds: 0Springfield, MO 65804
Administrator: Steve Patterson, CEO
Phone: (417) 885-4700
Fax: (417) 885-4777
Facility ID: H170
ICU Beds: 6
Alcohol/Drug Beds 0 OB Beds: 0
Rehab Beds: 0 Psych Beds: 0
NICU Beds: 0 Total Beds Lic: 44
Licensed Beds by Classification
Critical Access?
PPS rehab unit?
PPS psych unit?
Accredited?
CMS Provider#: 262017
by JointCom
County GREENE
Hospital Type: General Acute Care Hospital
Swingbeds?
License Exp 01/31/2019License #: 507Trauma: Stroke: STEMITCD Level(s) [if applicable]:
Wednesday, April 4, 2018 Page 17 of 24
Select Specialty Hospital - Town and Co3015 N. New Ballas Rd. 5th Floor LTC beds: 0Med/Surg Beds: 39
Pediatric Beds: 0St. Louis, MO 63131
Administrator: Marie Droege
Phone: (314) 996-6500
Fax:
Facility ID: H188
ICU Beds: 0
Alcohol/Drug Beds 0 OB Beds: 0
Rehab Beds: 0 Psych Beds: 0
NICU Beds: 0 Total Beds Lic: 39
Licensed Beds by Classification
Critical Access?
PPS rehab unit?
PPS psych unit?
Accredited?
CMS Provider#:
by JointCom
County ST CHARLES
Hospital Type: General Acute Care Hospital
Swingbeds?
License Exp 12/31/2018License #: 546Trauma: Stroke: STEMITCD Level(s) [if applicable]:
Select Specialty Hospital - Western Mis2316 East Meyer Boulevard, 3-West LTC beds: 0Med/Surg Beds: 34
Pediatric Beds: 0Kansas City, MO 64132
Administrator: Brett Hanson, CEO
Phone: (816) 276-9444
Fax: (816) 276-9777
Facility ID: H154
ICU Beds: 0
Alcohol/Drug Beds 0 OB Beds: 0
Rehab Beds: 0 Psych Beds: 0
NICU Beds: 0 Total Beds Lic: 34
Licensed Beds by Classification
Critical Access?
PPS rehab unit?
PPS psych unit?
Accredited?
CMS Provider#: 262014
by JointCom
County JACKSON
Hospital Type: General Acute Care Hospital
Swingbeds?
License Exp 02/28/2019License #: 543Trauma: Stroke: STEMITCD Level(s) [if applicable]:
Select Specialty Hospital-St. Louis300 1st Capitol Drive LTC beds: 0Med/Surg Beds: 33
Pediatric Beds: 0St. Charles, MO 63301
Administrator: Phillip Readinger, CEO
Phone: (636) 947-5010
Fax:
Facility ID: H098
ICU Beds: 0
Alcohol/Drug Beds 0 OB Beds: 0
Rehab Beds: 0 Psych Beds: 0
NICU Beds: 0 Total Beds Lic: 33
Licensed Beds by Classification
Critical Access?
PPS rehab unit?
PPS psych unit?
Accredited?
CMS Provider#: 262013
by JointCom
County ST CHARLES
Hospital Type: Other Hospital Type
Swingbeds?
License Exp 02/28/2019License #: 458Trauma: Stroke: STEMITCD Level(s) [if applicable]:
Shriners Hospitals for Children4400 Clayton Ave LTC beds: 0Med/Surg Beds: 0
Pediatric Beds: 12St. Louis, MO 63110
Administrator: Mark Venable, Administrator
Phone: (314) 432-3600
Fax: (314) 432-2930
Facility ID: H099
ICU Beds: 0
Alcohol/Drug Beds 0 OB Beds: 0
Rehab Beds: 0 Psych Beds: 0
NICU Beds: 0 Total Beds Lic: 12
Licensed Beds by Classification
Critical Access?
PPS rehab unit?
PPS psych unit?
Accredited?
CMS Provider#: 263304
by JointCom
County ST LOUIS
Hospital Type: Other Hospital Type
Swingbeds?
License Exp 04/30/2019License #: 142Trauma: Stroke: STEMITCD Level(s) [if applicable]:
Signature Psychiatric Hospital2900 Clay Edwards Drive LTC beds: 0Med/Surg Beds: 0
Pediatric Beds: 0North Kansas City, MO 64116
Administrator: Lisa St. Aubyn, CEO
Phone: (816) 691-5101
Fax:
Facility ID: H183
ICU Beds: 0
Alcohol/Drug Beds 0 OB Beds: 0
Rehab Beds: 0 Psych Beds: 25
NICU Beds: 0 Total Beds Lic: 25
Licensed Beds by Classification
Critical Access?
PPS rehab unit?
PPS psych unit?
Accredited?
CMS Provider#: 264030
by JointCom
County CLAY
Hospital Type: Psychiatric Hospital
Swingbeds?
License Exp 10/31/2018License #: 532Trauma: Stroke: STEMITCD Level(s) [if applicable]:
Signature Psychiatric Hospital Liberty2525 Glenn Hendren Dr. LTC beds: 0Med/Surg Beds: 0
Pediatric Beds: 0Liberty, MO 64068
Administrator: Lisa St. Aubyn, CEO
Phone: (816) 691-5101
Fax:
Facility ID: H189
ICU Beds: 0
Alcohol/Drug Beds 0 OB Beds: 0
Rehab Beds: 0 Psych Beds: 36
NICU Beds: 0 Total Beds Lic: 36
Licensed Beds by Classification
Critical Access?
PPS rehab unit?
PPS psych unit?
Accredited?
CMS Provider#: 264030
by JointCom
County CLAY
Hospital Type: Psychiatric Hospital
Swingbeds?
License Exp 02/28/2019License #: 551Trauma: Stroke: STEMITCD Level(s) [if applicable]:
Southeast Missouri Mental Health Cente1010 West Columbia Street LTC beds: 0Med/Surg Beds: 0
Pediatric Beds: 0Farmington, MO 63640
Administrator: David Schmitt, COO
Phone: (573) 218-6792
Fax:
Facility ID: P003
ICU Beds: 0
Alcohol/Drug Beds 0 OB Beds: 0
Rehab Beds: 0 Psych Beds: 0
NICU Beds: 0 Total Beds Lic: 0
Licensed Beds by Classification
Critical Access?
PPS rehab unit?
PPS psych unit?
Accredited?
CMS Provider#: 264005
by JointCom
County ST FRANCOIS
Hospital Type: Psychiatric Hospital
Swingbeds?
License ExpLicense #:Trauma: Stroke: STEMITCD Level(s) [if applicable]:
Wednesday, April 4, 2018 Page 18 of 24
SoutheastHEALTH1701 Lacey Street LTC beds: 0Med/Surg Beds: 157
Pediatric Beds: 10Cape Girardeau, MO 63701
Administrator: Kenneth Bateman, CEO
Phone: (573) 334-4822
Fax: (573) 651-5850
Facility ID: H103
ICU Beds: 26
Alcohol/Drug Beds 0 OB Beds: 27
Rehab Beds: 13 Psych Beds: 15
NICU Beds: 15 Total Beds Lic: 263
Licensed Beds by Classification
Critical Access?
PPS rehab unit?
PPS psych unit?
Accredited?
CMS Provider#: 260110
by JointCom
County CAPE GIRARD
Hospital Type: General Acute Care Hospital
Swingbeds?
License Exp 07/31/2018License #: 80Trauma: Stroke: II STEMITCD Level(s) [if applicable]:
SoutheastHEALTH Center of Ripley Cou109 Plum Street LTC beds: 0Med/Surg Beds: 21
Pediatric Beds: 0Doniphan, MO 63935
Administrator: Cheri Barton, RN, CEO
Phone: (573) 996-2141
Fax: (573) 996-3949
Facility ID: H092
ICU Beds: 0
Alcohol/Drug Beds 0 OB Beds: 0
Rehab Beds: 0 Psych Beds: 0
NICU Beds: 0 Total Beds Lic: 21
Licensed Beds by Classification
Critical Access?
PPS rehab unit?
PPS psych unit?
Accredited?
CMS Provider#: 260080
County RIPLEY
Hospital Type: General Acute Care Hospital
Swingbeds?
License Exp 12/31/2018License #: 528Trauma: Stroke: STEMITCD Level(s) [if applicable]:
SoutheastHEALTH Center of Stoddard 1200 North One Mile Road LTC beds: 0Med/Surg Beds: 44
Pediatric Beds: 0Dexter, MO 63841
Administrator: Sue Ann Williams, CEO
Phone: (573) 624-5566
Fax: (573) 624-8895
Facility ID: H069
ICU Beds: 4
Alcohol/Drug Beds 0 OB Beds: 0
Rehab Beds: 0 Psych Beds: 0
NICU Beds: 0 Total Beds Lic: 48
Licensed Beds by Classification
Critical Access?
PPS rehab unit?
PPS psych unit?
Accredited?
CMS Provider#: 260160
County STODDARD
Hospital Type: General Acute Care Hospital
Swingbeds?
License Exp 12/31/2018License #: 526Trauma: Stroke: STEMITCD Level(s) [if applicable]:
SSM Health Cardinal Glennon Children'1465 South Grand Boulevard LTC beds: 0Med/Surg Beds: 6
Pediatric Beds: 103St. Louis, MO 63104
Administrator: Steven Burghart, President
Phone: (314) 577-5613
Fax: (314) 577-5304
Facility ID: H105
ICU Beds: 21
Alcohol/Drug Beds 0 OB Beds: 0
Rehab Beds: 0 Psych Beds: 0
NICU Beds: 65 Total Beds Lic: 195
Licensed Beds by Classification
Critical Access?
PPS rehab unit?
PPS psych unit?
Accredited?
CMS Provider#: 260091
by JointCom
County ST LOUIS CIT
Hospital Type: Other Hospital Type
Swingbeds?
License Exp 12/31/2018License #: 429Trauma: I Stroke: STEMITCD Level(s) [if applicable]:
SSM Health DePaul Hospital - St. Louis12303 DePaul Drive LTC beds: 52Med/Surg Beds: 282
Pediatric Beds: 0Bridgeton, MO 63044
Administrator: Sean Hogan, President
Phone: (314) 344-6000
Fax: (314) 344-6840
Facility ID: H032
ICU Beds: 44
Alcohol/Drug Beds 0 OB Beds: 27
Rehab Beds: Psych Beds: 124
NICU Beds: 0 Total Beds Lic: 529
Licensed Beds by Classification
Critical Access?
PPS rehab unit?
PPS psych unit?
Accredited?
CMS Provider#: 260104
by JointCom
County ST LOUIS
Hospital Type: General Acute Care Hospital
Swingbeds?
License Exp 03/31/2019License #: 414Trauma: II Stroke: I STEMITCD Level(s) [if applicable]:
SSM Health Rehabilitation Hospital - Bri12380 DePaul Drive LTC beds: 0Med/Surg Beds: 0
Pediatric Beds: 0Bridgeton, MO 63044
Administrator: Robert Pritts, CEO
Phone: (314) 447-9700
Fax:
Facility ID: H176
ICU Beds: 0
Alcohol/Drug Beds 0 OB Beds: 0
Rehab Beds: 60 Psych Beds: 0
NICU Beds: 0 Total Beds Lic: 60
Licensed Beds by Classification
Critical Access?
PPS rehab unit?
PPS psych unit?
Accredited?
CMS Provider#: 263031
by JointCom
County ST LOUIS
Hospital Type: Rehabilitation Hospital
Swingbeds?
License Exp 12/31/2018License #: 522Trauma: Stroke: STEMITCD Level(s) [if applicable]:
SSM Health Rehabilitation Hospital - La100 Medical Plaza , 5th Floor LTC beds: 0Med/Surg Beds: 0
Pediatric Beds: 0Lake St. Louis, MO 63367
Administrator: John Grubbs, CEO
Phone: (636) 755-6500
Fax:
Facility ID: H186
ICU Beds: 0
Alcohol/Drug Beds 0 OB Beds: 0
Rehab Beds: 30 Psych Beds: 0
NICU Beds: 0 Total Beds Lic: 30
Licensed Beds by Classification
Critical Access?
PPS rehab unit?
PPS psych unit?
Accredited?
CMS Provider#: 263031
County ST CHARLES
Hospital Type: Rehabilitation Hospital
Swingbeds?
License Exp 05/31/2018License #: 545Trauma: Stroke: STEMITCD Level(s) [if applicable]:
Wednesday, April 4, 2018 Page 19 of 24
SSM Health Rehabilitation Hospital - Ric1027 Bellevue Avenue LTC beds: 0Med/Surg Beds: 0
Pediatric Beds: 0Richmond Heights, MO 63117
Administrator: Robert Pritts, CEO
Phone: (314) 768-5300
Fax: (314) 768-5355
Facility ID: H172
ICU Beds: 0
Alcohol/Drug Beds 0 OB Beds: 0
Rehab Beds: 35 Psych Beds: 0
NICU Beds: 0 Total Beds Lic: 35
Licensed Beds by Classification
Critical Access?
PPS rehab unit?
PPS psych unit?
Accredited?
CMS Provider#: 263031
by JointCom
County ST LOUIS
Hospital Type: Rehabilitation Hospital
Swingbeds?
License Exp 11/30/2018License #: 518Trauma: Stroke: STEMITCD Level(s) [if applicable]:
SSM Health Saint Louis University Hosp3635 Vista Avenue LTC beds: 0Med/Surg Beds: 239
Pediatric Beds: 0St. Louis, MO 63110
Administrator: Kate Becker, CEO
Phone: (314) 577-8000
Fax: (314) 577-8003
Facility ID: H122
ICU Beds: 65
Alcohol/Drug Beds 0 OB Beds: 0
Rehab Beds: 0 Psych Beds: 40
NICU Beds: 0 Total Beds Lic: 344
Licensed Beds by Classification
Critical Access?
PPS rehab unit?
PPS psych unit?
Accredited?
CMS Provider#: 260105
by JointCom
County ST LOUIS CIT
Hospital Type: General Acute Care Hospital
Swingbeds?
License Exp 08/31/2018License #: 542Trauma: I Stroke: I STEMITCD Level(s) [if applicable]:
SSM Health Saint Louis University Hosp1755 South Grand Boulevard LTC beds: 0Med/Surg Beds: 12
Pediatric Beds: 0St. Louis, MO 63104
Administrator: Kate Becker, CEO
Phone: (314) 577-8007
Fax: (314) 577-8003
Facility ID: H121
ICU Beds: 0
Alcohol/Drug Beds 0 OB Beds: 0
Rehab Beds: 0 Psych Beds: 0
NICU Beds: 0 Total Beds Lic: 12
Licensed Beds by Classification
Critical Access?
PPS rehab unit?
PPS psych unit?
Accredited?
CMS Provider#: 260105
by JointCom
County ST LOUIS CIT
Hospital Type: General Acute Care Hospital
Swingbeds?
License Exp 08/31/2018License #: 542Trauma: Stroke: STEMITCD Level(s) [if applicable]:
SSM Health St. Clare Hospital - Fenton1015 Bowles Ave LTC beds: 0Med/Surg Beds: 130
Pediatric Beds: 0Fenton, MO 63026
Administrator: Ellis Hawkins, President
Phone: (636) 496-2000
Fax:
Facility ID: H106
ICU Beds: 28
Alcohol/Drug Beds 0 OB Beds: 22
Rehab Beds: 0 Psych Beds: 0
NICU Beds: 0 Total Beds Lic: 180
Licensed Beds by Classification
Critical Access?
PPS rehab unit?
PPS psych unit?
Accredited?
CMS Provider#: 260081
by JointCom
County ST LOUIS
Hospital Type: General Acute Care Hospital
Swingbeds?
License Exp 12/31/2018License #: 456Trauma: Stroke: II STEMITCD Level(s) [if applicable]:
SSM Health St. Francis Hospital - Maryv2016 South Main Street LTC beds: 0Med/Surg Beds: 56
Pediatric Beds: 0Maryville, MO 64468
Administrator: Michael Baumgartner, President
Phone: (660) 562-2600
Fax: (660) 562-7911
Facility ID: H110
ICU Beds: 2
Alcohol/Drug Beds 0 OB Beds: 8
Rehab Beds: 0 Psych Beds: 15
NICU Beds: 0 Total Beds Lic: 81
Licensed Beds by Classification
Critical Access?
PPS rehab unit?
PPS psych unit?
Accredited?
CMS Provider#: 260050
by JointCom
County NODAWAY
Hospital Type: General Acute Care Hospital
Swingbeds?
License Exp 03/31/2019License #: 147Trauma: Stroke: STEMITCD Level(s) [if applicable]:
SSM Health St. Joseph Hospital - Lake 100 Medical Plaza LTC beds: 0Med/Surg Beds: 181
Pediatric Beds: 4Lake St. Louis, MO 63367
Administrator: Lisle Wescott, President
Phone: (636) 625-5200
Fax: (636) 625-5314
Facility ID: H118
ICU Beds: 10
Alcohol/Drug Beds 0 OB Beds: 20
Rehab Beds: 0 Psych Beds: 0
NICU Beds: 0 Total Beds Lic: 215
Licensed Beds by Classification
Critical Access?
PPS rehab unit?
PPS psych unit?
Accredited?
CMS Provider#: 260200
by JointCom
County ST CHARLES
Hospital Type: General Acute Care Hospital
Swingbeds?
License Exp 12/31/2018License #: 381Trauma: III Stroke: II STEMITCD Level(s) [if applicable]:
SSM Health St. Joseph Hospital - St. Ch300 First Capitol Drive LTC beds: 0Med/Surg Beds: 255
Pediatric Beds: 0St. Charles, MO 63301
Administrator: Mike Bowers, President
Phone: (636) 947-5076
Fax: (636) 947-5090
Facility ID: H117
ICU Beds: 20
Alcohol/Drug Beds 0 OB Beds: 12
Rehab Beds: 20 Psych Beds: 22
NICU Beds: 4 Total Beds Lic: 333
Licensed Beds by Classification
Critical Access?
PPS rehab unit?
PPS psych unit?
Accredited?
CMS Provider#: 260005
by JointCom
County ST CHARLES
Hospital Type: General Acute Care Hospital
Swingbeds?
License Exp 10/31/2018License #: 494Trauma: II Stroke: II STEMITCD Level(s) [if applicable]:
Wednesday, April 4, 2018 Page 20 of 24
SSM Health St. Joseph Hospital - Wentz500 Medical Drive LTC beds: 0Med/Surg Beds: 0
Pediatric Beds: 0Wentzville, MO 63385
Administrator: Mike Bowers, President
Phone: (636) 327-1000
Fax: (636) 327-5413
Facility ID: H031
ICU Beds: 0
Alcohol/Drug Beds 0 OB Beds: 0
Rehab Beds: 0 Psych Beds: 77
NICU Beds: 0 Total Beds Lic: 77
Licensed Beds by Classification
Critical Access?
PPS rehab unit?
PPS psych unit?
Accredited?
CMS Provider#: 260005
by JointCom
County ST CHARLES
Hospital Type: General Acute Care Hospital
Swingbeds?
License Exp 10/31/2018License #: 494Trauma: Stroke: STEMITCD Level(s) [if applicable]:
SSM Health St. Mary's Hospital - Audrai620 East Monroe Street LTC beds: 0Med/Surg Beds: 57
Pediatric Beds: 5Mexico, MO 65265
Administrator: Donna K. Jacobs, President
Phone: (573) 582-8100
Fax: (573) 582-3700
Facility ID: H002
ICU Beds: 0
Alcohol/Drug Beds 0 OB Beds: 6
Rehab Beds: 0 Psych Beds: 20
NICU Beds: 0 Total Beds Lic: 88
Licensed Beds by Classification
Critical Access?
PPS rehab unit?
PPS psych unit?
Accredited?
CMS Provider#: 260064
by JointCom
County AUDRAIN
Hospital Type: General Acute Care Hospital
Swingbeds?
License Exp 12/31/2018License #: 36Trauma: Stroke: STEMITCD Level(s) [if applicable]:
SSM Health St. Mary's Hospital - Jeffers2505 Mission Drive LTC beds: 0Med/Surg Beds: 108
Pediatric Beds: 0Jefferson City, MO 65109
Administrator: Philip Gustafson, CEO
Phone: (573) 761-7000
Fax: (573) 636-5733
Facility ID: H128
ICU Beds: 12
Alcohol/Drug Beds 0 OB Beds: 14
Rehab Beds: 0 Psych Beds: 20
NICU Beds: 0 Total Beds Lic: 154
Licensed Beds by Classification
Critical Access?
PPS rehab unit?
PPS psych unit?
Accredited?
CMS Provider#: 260011
by JointCom
County COLE
Hospital Type: General Acute Care Hospital
Swingbeds?
License Exp 12/31/2018License #: 455Trauma: Stroke: STEMITCD Level(s) [if applicable]:
SSM Health St. Mary's Hospital - St. Lou6420 Clayton Road LTC beds: 0Med/Surg Beds: 289
Pediatric Beds: 0Richmond Heights, MO 63117
Administrator: Travis Capers, CEO
Phone: (314) 768-8000
Fax: (314) 768-8011
Facility ID: H129
ICU Beds: 32
Alcohol/Drug Beds 0 OB Beds: 92
Rehab Beds: 0 Psych Beds: 46
NICU Beds: 33 Total Beds Lic: 492
Licensed Beds by Classification
Critical Access?
PPS rehab unit?
PPS psych unit?
Accredited?
CMS Provider#: 260091
by JointCom
County ST LOUIS
Hospital Type: General Acute Care Hospital
Swingbeds?
License Exp 12/31/2018License #: 383Trauma: Stroke: II STEMITCD Level(s) [if applicable]:
St. Alexius Hospital - Broadway3933 South Broadway LTC beds: 0Med/Surg Beds: 87
Pediatric Beds: 0St. Louis, MO 63118
Administrator: Michael Motte, CEO
Phone: (314) 865-7000
Fax: (314) 865-7938
Facility ID: H107
ICU Beds: 12
Alcohol/Drug Beds 0 OB Beds: 0
Rehab Beds: 0 Psych Beds: 91
NICU Beds: 0 Total Beds Lic: 190
Licensed Beds by Classification
Critical Access?
PPS rehab unit?
PPS psych unit?
Accredited?
CMS Provider#: 260210
by JointCom
County ST LOUIS CIT
Hospital Type: General Acute Care Hospital
Swingbeds?
License Exp 07/31/2018License #: 520Trauma: Stroke: STEMITCD Level(s) [if applicable]:
St. Anthony's Medical Center - Affiliated10010 Kennerly Road LTC beds: 0Med/Surg Beds: 541
Pediatric Beds: 0St. Louis, MO 63128
Administrator: Mike McCurry, CEO
Phone: (314) 525-1000
Fax: (314) 525-1228
Facility ID: H108
ICU Beds: 56
Alcohol/Drug Beds 0 OB Beds: 39
Rehab Beds: 49 Psych Beds: 74
NICU Beds: 8 Total Beds Lic: 767
Licensed Beds by Classification
Critical Access?
PPS rehab unit?
PPS psych unit?
Accredited?
CMS Provider#: 260077
by JointCom
County ST LOUIS
Hospital Type: General Acute Care Hospital
Swingbeds?
License Exp 02/28/2019License #: 273Trauma: II Stroke: I STEMITCD Level(s) [if applicable]:
St. Joseph Medical Center1000 Carondelet Drive LTC beds: 0Med/Surg Beds: 201
Pediatric Beds: 0Kansas City, MO 64114
Administrator: Jodi Fincher, CEO
Phone: (816) 942-4400
Fax: (816) 943-3131
Facility ID: H116
ICU Beds: 48
Alcohol/Drug Beds 0 OB Beds: 30
Rehab Beds: 16 Psych Beds: 0
NICU Beds: 15 Total Beds Lic: 310
Licensed Beds by Classification
Critical Access?
PPS rehab unit?
PPS psych unit?
Accredited?
CMS Provider#: 260085
by JointCom
County JACKSON
Hospital Type: General Acute Care Hospital
Swingbeds?
License Exp 01/31/2019License #: 537Trauma: Stroke: II STEMITCD Level(s) [if applicable]:
Wednesday, April 4, 2018 Page 21 of 24
St. Louis Children's HospitalOne Children's Place LTC beds: 0Med/Surg Beds: 16
Pediatric Beds: 170St. Louis, MO 63110
Administrator: Joan Magruder, President
Phone: (314) 454-6000
Fax: (314) 454-2101
Facility ID: H119
ICU Beds: 79
Alcohol/Drug Beds 0 OB Beds: 0
Rehab Beds: 0 Psych Beds: 0
NICU Beds: 125 Total Beds Lic: 390
Licensed Beds by Classification
Critical Access?
PPS rehab unit?
PPS psych unit?
Accredited?
CMS Provider#: 263301
by JointCom
County ST LOUIS CIT
Hospital Type: Other Hospital Type
Swingbeds?
License Exp 03/31/2019License #: 324Trauma: I Stroke: STEMITCD Level(s) [if applicable]:
St. Louis Psychiatric Rehabilitation Cen5300 Arsenal Street LTC beds: 0Med/Surg Beds: 0
Pediatric Beds: 0St. Louis, MO 63139
Administrator: Laurent D. Javois, CEO
Phone: (314) 877-6500
Fax: (314) 644-8115
Facility ID: P005
ICU Beds: 0
Alcohol/Drug Beds 0 OB Beds: 0
Rehab Beds: 0 Psych Beds: 0
NICU Beds: 0 Total Beds Lic: 0
Licensed Beds by Classification
Critical Access?
PPS rehab unit?
PPS psych unit?
Accredited?
CMS Provider#: 264010
by JointCom
County ST LOUIS CIT
Hospital Type: Psychiatric Hospital
Swingbeds?
License ExpLicense #:Trauma: Stroke: STEMITCD Level(s) [if applicable]:
St. Luke's Hospital232 South Woods Mill Road LTC beds: 0Med/Surg Beds: 360
Pediatric Beds: 12Chesterfield, MO 63017
Administrator: Christine Candio, President and
Phone: (314) 434-1500
Fax: (314) 205-6865
Facility ID: H124
ICU Beds: 34
Alcohol/Drug Beds 0 OB Beds: 72
Rehab Beds: 0 Psych Beds: 0
NICU Beds: 0 Total Beds Lic: 493
Licensed Beds by Classification
Critical Access?
PPS rehab unit?
PPS psych unit?
Accredited?
CMS Provider#: 260179
by JointCom
County ST LOUIS
Hospital Type: General Acute Care Hospital
Swingbeds?
License Exp 05/31/2018License #: 274Trauma: Stroke: II STEMITCD Level(s) [if applicable]:
St. Luke's Rehabilitation Hospital14709 Olive Boulevard LTC beds: 0Med/Surg Beds: 0
Pediatric Beds: 0Chesterfield, MO 63017
Administrator: Christopher Baechle, CEO
Phone: (314) 317-5700
Fax: (314) 317-5949
Facility ID: H168
ICU Beds: 0
Alcohol/Drug Beds 0 OB Beds: 0
Rehab Beds: 35 Psych Beds: 0
NICU Beds: 0 Total Beds Lic: 35
Licensed Beds by Classification
Critical Access?
PPS rehab unit?
PPS psych unit?
Accredited?
CMS Provider#: 263030
by JointCom
County ST LOUIS
Hospital Type: Rehabilitation Hospital
Swingbeds?
License Exp 10/31/2018License #: 510Trauma: Stroke: STEMITCD Level(s) [if applicable]:
St. Mary's Medical Center201 NW R.D. Mize Road LTC beds: 0Med/Surg Beds: 88
Pediatric Beds: 0Blue Springs, MO 64014
Administrator: Debra Ohnoutka, CEO
Phone: (816) 228-5900
Fax: (816) 655-5408
Facility ID: H130
ICU Beds: 8
Alcohol/Drug Beds 0 OB Beds: 25
Rehab Beds: 15 Psych Beds: 0
NICU Beds: 10 Total Beds Lic: 146
Licensed Beds by Classification
Critical Access?
PPS rehab unit?
PPS psych unit?
Accredited?
CMS Provider#: 260193
by JointCom
County JACKSON
Hospital Type: General Acute Care Hospital
Swingbeds?
License Exp 01/31/2019License #: 536Trauma: Stroke: II STEMITCD Level(s) [if applicable]:
Ste Genevieve County Memorial Hospit800 Ste. Genevieve Drive, P.O.Box 468 LTC beds: 0Med/Surg Beds: 42
Pediatric Beds: 0Ste. Genevieve, MO 63670
Administrator: Thomas Keim, CEO
Phone: (573) 883-2751
Fax: (573) 883-7755
Facility ID: H131
ICU Beds: 0
Alcohol/Drug Beds 0 OB Beds: 5
Rehab Beds: 0 Psych Beds: 0
NICU Beds: 0 Total Beds Lic: 47
Licensed Beds by Classification
Critical Access?
PPS rehab unit?
PPS psych unit?
Accredited?
CMS Provider#: 261330
County STE GENEVIE
Hospital Type: General Acute Care Hospital
Swingbeds?
License Exp 03/31/2019License #: 245Trauma: Stroke: STEMITCD Level(s) [if applicable]:
Sullivan County Memorial Hospital630 West 3rd Street LTC beds: 0Med/Surg Beds: 25
Pediatric Beds: 0Milan, MO 63556
Administrator: Jerry Dover, CEO
Phone: (660) 265-4212
Fax: (660) 265-4898
Facility ID: H132
ICU Beds: 0
Alcohol/Drug Beds 0 OB Beds: 0
Rehab Beds: 0 Psych Beds: 0
NICU Beds: 0 Total Beds Lic: 25
Licensed Beds by Classification
Critical Access?
PPS rehab unit?
PPS psych unit?
Accredited?
CMS Provider#: 261306
County SULLIVAN
Hospital Type: General Acute Care Hospital
Swingbeds?
License Exp 12/31/2018License #: 130Trauma: Stroke: STEMITCD Level(s) [if applicable]:
Wednesday, April 4, 2018 Page 22 of 24
Texas County Memorial Hospital1333 S. Sam Houston Boulevard LTC beds: 0Med/Surg Beds: 52
Pediatric Beds: 0Houston, MO 65483
Administrator: Wesley E. Murray, CEO
Phone: (417) 967-3311
Fax: (417) 967-3764
Facility ID: H133
ICU Beds: 4
Alcohol/Drug Beds 0 OB Beds: 10
Rehab Beds: 0 Psych Beds: 0
NICU Beds: 0 Total Beds Lic: 66
Licensed Beds by Classification
Critical Access?
PPS rehab unit?
PPS psych unit?
Accredited?
CMS Provider#: 260024
County TEXAS
Hospital Type: General Acute Care Hospital
Swingbeds?
License Exp 01/31/2019License #: 172Trauma: Stroke: III STEMITCD Level(s) [if applicable]:
The Rehabilitation Institute of St. Louis,4455 Duncan Avenue LTC beds: 0Med/Surg Beds: 0
Pediatric Beds: 0St. Louis, MO 63110
Administrator: Mark Dwyer, CEO
Phone: (314) 658-3800
Fax: (314) 534-1132
Facility ID: H087
ICU Beds: 0
Alcohol/Drug Beds 0 OB Beds: 0
Rehab Beds: 96 Psych Beds: 0
NICU Beds: 0 Total Beds Lic: 96
Licensed Beds by Classification
Critical Access?
PPS rehab unit?
PPS psych unit?
Accredited?
CMS Provider#: 263028
by JointCom
County ST LOUIS CIT
Hospital Type: Rehabilitation Hospital
Swingbeds?
License Exp 03/31/2019License #: 467Trauma: Stroke: STEMITCD Level(s) [if applicable]:
The Rehabilitation Institute of St. Louis,10 Hospital Drive, 3rd Floor LTC beds: 0Med/Surg Beds: 0
Pediatric Beds: 0St. Peters, MO 63376
Administrator: Mark Dwyer, CEO
Phone: (636) 317-4000
Fax:
Facility ID: H187
ICU Beds: 0
Alcohol/Drug Beds 0 OB Beds: 0
Rehab Beds: 35 Psych Beds: 0
NICU Beds: 0 Total Beds Lic: 35
Licensed Beds by Classification
Critical Access?
PPS rehab unit?
PPS psych unit?
Accredited?
CMS Provider#: 263028
by JointCom
County ST CHARLES
Hospital Type: Rehabilitation Hospital
Swingbeds?
License Exp 03/31/2019License #: 467Trauma: Stroke: STEMITCD Level(s) [if applicable]:
Truman Medical Center - Hospital Hill2301 Holmes Street LTC beds: 0Med/Surg Beds: 105
Pediatric Beds: 0Kansas City, MO 64108
Administrator: Charlie Shields, Corporate CEO
Phone: (816) 404-3500
Fax: (816) 404-3508
Facility ID: H139
ICU Beds: 41
Alcohol/Drug Beds 0 OB Beds: 34
Rehab Beds: 0 Psych Beds: 50
NICU Beds: 19 Total Beds Lic: 249
Licensed Beds by Classification
Critical Access?
PPS rehab unit?
PPS psych unit?
Accredited?
CMS Provider#: 260048
by JointCom
County JACKSON
Hospital Type: General Acute Care Hospital
Swingbeds?
License Exp 11/30/2018License #: 285Trauma: I Stroke: STEMITCD Level(s) [if applicable]:
Truman Medical Center - Hospital Hill 2 1000 E 24th Street, 2 Center LTC beds: 0Med/Surg Beds: 0
Pediatric Beds: 0Kansas City, MO 64108
Administrator: Charlie Shields, Corporate CEO
Phone: (816) 404-3500
Fax: (816) 404-3508
Facility ID: H161
ICU Beds: 0
Alcohol/Drug Beds 0 OB Beds: 0
Rehab Beds: 0 Psych Beds: 50
NICU Beds: 0 Total Beds Lic: 50
Licensed Beds by Classification
Critical Access?
PPS rehab unit?
PPS psych unit?
Accredited?
CMS Provider#: 260048
by JointCom
County JACKSON
Hospital Type: General Acute Care Hospital
Swingbeds?
License Exp 11/30/2018License #: 285Trauma: Stroke: STEMITCD Level(s) [if applicable]:
Truman Medical Center Lakewood7900 Lee's Summit Road LTC beds: 188Med/Surg Beds: 32
Pediatric Beds: 4Kansas City, MO 64139
Administrator: Charlie Shields, Corporate CEO
Phone: (816) 404-7000
Fax: (816) 404-8038
Facility ID: H138
ICU Beds: 8
Alcohol/Drug Beds 0 OB Beds: 31
Rehab Beds: 12 Psych Beds: 18
NICU Beds: 5 Total Beds Lic: 298
Licensed Beds by Classification
Critical Access?
PPS rehab unit?
PPS psych unit?
Accredited?
CMS Provider#: 260102
by JointCom
County JACKSON
Hospital Type: General Acute Care Hospital
Swingbeds?
License Exp 11/30/2018License #: 195Trauma: Stroke: STEMITCD Level(s) [if applicable]:
Twin Rivers Regional Medical Center1301 First Street, PO Box 728 LTC beds: 0Med/Surg Beds: 19
Pediatric Beds: 13Kennett, MO 63857
Administrator: Christian Jones
Phone: (573) 888-4522
Fax: (573) 888-5525
Facility ID: H140
ICU Beds: 6
Alcohol/Drug Beds 0 OB Beds: 7
Rehab Beds: 8 Psych Beds: 33
NICU Beds: 0 Total Beds Lic: 116
Licensed Beds by Classification
Critical Access?
PPS rehab unit?
PPS psych unit?
Accredited?
CMS Provider#: 260015
by JointCom
County DUNKLIN
Hospital Type: General Acute Care Hospital
Swingbeds?
License Exp 03/31/2019License #: 514Trauma: Stroke: STEMITCD Level(s) [if applicable]:
Wednesday, April 4, 2018 Page 23 of 24
Two Rivers Behavioral Health System5121 Raytown Road LTC beds: 0Med/Surg Beds: 0
Pediatric Beds: 0Kansas City, MO 64133
Administrator: Greg Shannon, CEO
Phone: (816) 382-6300
Fax: (816) 356-6147
Facility ID: H141
ICU Beds: 0
Alcohol/Drug Beds 0 OB Beds: 0
Rehab Beds: 0 Psych Beds: 105
NICU Beds: 0 Total Beds Lic: 105
Licensed Beds by Classification
Critical Access?
PPS rehab unit?
PPS psych unit?
Accredited?
CMS Provider#: 264017
by JointCom
County JACKSON
Hospital Type: Psychiatric Hospital
Swingbeds?
License Exp 09/30/2018License #: 349Trauma: Stroke: STEMITCD Level(s) [if applicable]:
University of Missouri Health CareOne Hospital Drive, Room CE121, DC031.00 LTC beds: 0Med/Surg Beds: 0
Pediatric Beds: 0Columbia, MO 65212
Administrator: Jonathan Curtright, CEO, COO
Phone: (573) 882-4141
Fax: (573) 884-4174
Facility ID: H151
ICU Beds: 0
Alcohol/Drug Beds 0 OB Beds: 0
Rehab Beds: 0 Psych Beds: 0
NICU Beds: 0 Total Beds Lic: 0
Licensed Beds by Classification
Critical Access?
PPS rehab unit?
PPS psych unit?
Accredited?
CMS Provider#: 260141
by Other
County BOONE
Hospital Type: General Acute Care Hospital
Swingbeds?
License ExpLicense #:Trauma: I Stroke: I STEMITCD Level(s) [if applicable]:
Washington County Memorial Hospital300 Health Way LTC beds: 0Med/Surg Beds: 25
Pediatric Beds: 0Potosi, MO 63664
Administrator: Michele Meyer
Phone: (573) 438-5451
Fax: (573) 438-2399
Facility ID: H142
ICU Beds: 0
Alcohol/Drug Beds 0 OB Beds: 0
Rehab Beds: 0 Psych Beds: 0
NICU Beds: 0 Total Beds Lic: 25
Licensed Beds by Classification
Critical Access?
PPS rehab unit?
PPS psych unit?
Accredited?
CMS Provider#: 261308
County WASHINGTON
Hospital Type: General Acute Care Hospital
Swingbeds?
License Exp 11/30/2018License #: 224Trauma: Stroke: STEMITCD Level(s) [if applicable]:
Western Missouri Medical Center403 Burkarth Road LTC beds: 0Med/Surg Beds: 37
Pediatric Beds: 0Warrensburg, MO 64093
Administrator: Darinda Reberry, President/CEO
Phone: (660) 747-2500
Fax: (660) 747-8455
Facility ID: H143
ICU Beds: 8
Alcohol/Drug Beds 0 OB Beds: 18
Rehab Beds: 0 Psych Beds: 12
NICU Beds: 0 Total Beds Lic: 75
Licensed Beds by Classification
Critical Access?
PPS rehab unit?
PPS psych unit?
Accredited?
CMS Provider#: 260097
by JointCom
County JOHNSON
Hospital Type: General Acute Care Hospital
Swingbeds?
License Exp 07/31/2018License #: 221Trauma: Stroke: STEMITCD Level(s) [if applicable]:
Women's and Children's Hospital404 Keene Street LTC beds: 0Med/Surg Beds: 0
Pediatric Beds: 0Columbia, MO 65201
Administrator: Keri Simon
Phone: (573) 875-9200
Fax: (573) 875-9869
Facility ID: H146
ICU Beds: 0
Alcohol/Drug Beds 0 OB Beds: 0
Rehab Beds: 0 Psych Beds: 0
NICU Beds: 0 Total Beds Lic: 0
Licensed Beds by Classification
Critical Access?
PPS rehab unit?
PPS psych unit?
Accredited?
CMS Provider#: 260141
by JointCom
County BOONE
Hospital Type: General Acute Care Hospital
Swingbeds?
License ExpLicense #:Trauma: Stroke: STEMITCD Level(s) [if applicable]:
Wright Memorial Hospital191 Iowa Boulevard LTC beds: 0Med/Surg Beds: 25
Pediatric Beds: 0Trenton, MO 64683
Administrator: Gary W. Jordan, CEO
Phone: (660) 359-5621
Fax: (660) 359-3541
Facility ID: H144
ICU Beds: 0
Alcohol/Drug Beds 0 OB Beds: 0
Rehab Beds: 0 Psych Beds: 0
NICU Beds: 0 Total Beds Lic: 25
Licensed Beds by Classification
Critical Access?
PPS rehab unit?
PPS psych unit?
Accredited?
CMS Provider#: 261309
County GRUNDY
Hospital Type: General Acute Care Hospital
Swingbeds?
License Exp 03/31/2019License #: 413Trauma: Stroke: III STEMITCD Level(s) [if applicable]:
Wednesday, April 4, 2018 Page 24 of 24