27
MO Hospital Profiles By County Wednesday, February 12, 2020 Last updated Total Fac Count 162 County: ADAIR Northeast Regional Medical Center 315 South Osteopathy, P.O. Box C8502 LTC beds: 0 Med/Surg Beds: 69 Pediatric Beds: 0 Kirksville, 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 Other Hospital Type: General Acute Care Hospital Swingbeds? DHSS License # 462 Current License Expires 11/30/2020 County: ATCHISON Community Hospital Association 26136 US Highway 59, PO Box 107 LTC beds: 0 Med/Surg Beds: 15 Pediatric Beds: 1 Fairfax, MO 64446 Administrator: Julie Jones, 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 Hospital Type: General Acute Care Hospital Swingbeds? DHSS License # 102 Current License Expires 08/31/2020 County: AUDRAIN SSM Health St. Mary's Hospital - Audrain 620 East Monroe Street LTC beds: 0 Med/Surg Beds: 45 Pediatric Beds: 0 Mexico, MO 65265 Administrator: Donna K. Jacobs, President Phone: (573) 582-8000 Fax: (573) 582-3700 Facility ID: H002 ICU Beds: 5 Alcohol/Drug Beds 0 OB Beds: 0 Rehab Beds: 0 Psych Beds: 20 NICU Beds: 0 Total Beds Lic: 70 Licensed Beds by Classification Critical Access? PPS rehab unit? PPS psych unit? Accredited? CMS Provider#: 260064 by JointCom Hospital Type: General Acute Care Hospital Swingbeds? DHSS License # 36 Current License Expires 12/31/2020 County: BARRY Mercy Hospital Cassville 94 Main Street LTC beds: 0 Med/Surg Beds: 18 Pediatric Beds: 0 Cassville, MO 65625 Administrator: Nicki Gamet, Administrator Phone: (417) 847-6000 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 Hospital Type: General Acute Care Hospital Swingbeds? DHSS License # 470 Current License Expires 11/30/2020 Cox Monett Hospital 801 North Lincoln Avenue LTC beds: 0 Med/Surg Beds: 18 Pediatric Beds: 0 Monett, 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 Hospital Type: General Acute Care Hospital Swingbeds? DHSS License # 389 Current License Expires 10/31/2020 Wednesday, February 12, 2020 Page 1 of 27

Hospital Profiles By CountyPPS rehab unit? PPS psych unit? Accredited? CMS Provider#: 261303 by Other Hospital Type: General Acute Care Hospital Swingbeds? DHSS License # 102 Current

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Page 1: Hospital Profiles By CountyPPS rehab unit? PPS psych unit? Accredited? CMS Provider#: 261303 by Other Hospital Type: General Acute Care Hospital Swingbeds? DHSS License # 102 Current

MO Hospital Profiles By CountyWednesday, February 12, 2020

Last updatedTotal Fac Count

162

County: ADAIRNortheast 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 Other

Hospital Type: General Acute Care Hospital

Swingbeds?

DHSS License # 462 Current License Expires 11/30/2020

County: ATCHISONCommunity Hospital Association26136 US Highway 59, PO Box 107 LTC beds: 0Med/Surg Beds: 15

Pediatric Beds: 1Fairfax, MO 64446

Administrator: Julie Jones, 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

Hospital Type: General Acute Care Hospital

Swingbeds?

DHSS License # 102 Current License Expires 08/31/2020

County: AUDRAINSSM Health St. Mary's Hospital - Audrain620 East Monroe Street LTC beds: 0Med/Surg Beds: 45

Pediatric Beds: 0Mexico, MO 65265

Administrator: Donna K. Jacobs, President

Phone: (573) 582-8000

Fax: (573) 582-3700

Facility ID: H002

ICU Beds: 5

Alcohol/Drug Beds 0 OB Beds: 0

Rehab Beds: 0 Psych Beds: 20

NICU Beds: 0 Total Beds Lic: 70

Licensed Beds by Classification

Critical Access?PPS rehab unit?PPS psych unit?Accredited?

CMS Provider#: 260064

by JointCom

Hospital Type: General Acute Care Hospital

Swingbeds?

DHSS License # 36 Current License Expires 12/31/2020

County: BARRYMercy Hospital Cassville94 Main Street LTC beds: 0Med/Surg Beds: 18

Pediatric Beds: 0Cassville, MO 65625

Administrator: Nicki Gamet, Administrator

Phone: (417) 847-6000

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

Hospital Type: General Acute Care Hospital

Swingbeds?

DHSS License # 470 Current License Expires 11/30/2020

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

Hospital Type: General Acute Care Hospital

Swingbeds?

DHSS License # 389 Current License Expires 10/31/2020

Wednesday, February 12, 2020 Page 1 of 27

Page 2: Hospital Profiles By CountyPPS rehab unit? PPS psych unit? Accredited? CMS Provider#: 261303 by Other Hospital Type: General Acute Care Hospital Swingbeds? DHSS License # 102 Current

County: BARTONCox Barton County Hospital29 NW 1st Lane LTC beds: 0Med/Surg Beds: 25

Pediatric Beds: 0Lamar, MO 64759

Administrator: Chris Wyatt, 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 Hospital Type: General Acute Care Hospital

Swingbeds?

DHSS License # 247 Current License Expires 12/31/2020

County: BATESBates 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

by DNV

Hospital Type: General Acute Care Hospital

Swingbeds?

DHSS License # 205 Current License Expires 08/31/2020

County: BOONEBoone 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

Hospital Type: General Acute Care Hospital

Swingbeds?

DHSS License # 361 Current License Expires 08/31/2020

CenterPointe Hospital of Columbia1201 International Drive LTC beds: 0Med/Surg Beds: 0

Pediatric Beds: 0Columbia, MO 65202

Administrator: Jim Gallagher, CEO

Phone: (855) 623-7016

Fax:

Facility ID: H193

ICU Beds: 0

Alcohol/Drug Beds 0 OB Beds: 0

Rehab Beds: 0 Psych Beds: 72

NICU Beds: 0 Total Beds Lic: 72

Licensed Beds by Classification

Critical Access?PPS rehab unit?PPS psych unit?Accredited?

CMS Provider#: 264032

by JointCom

Hospital Type: Psychiatric Hospital

Swingbeds?

DHSS License # 553 Current License Expires 09/30/2020

Landmark Hospital of Columbia, LLC604 Old Hwy 63 N LTC beds: 0Med/Surg Beds: 23

Pediatric Beds: 0Columbia, MO 65201

Administrator: Nickole Hunt, 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: 23

Licensed Beds by Classification

Critical Access?PPS rehab unit?PPS psych unit?Accredited?

CMS Provider#: 262020

by CIHQ

Hospital Type: General Acute Care Hospital

Swingbeds?

DHSS License # 517 Current License Expires 08/31/2020

Landmark Rehabilitation Hospital of Columbia, L604 Old 63 N., Suite 101 LTC beds: 0Med/Surg Beds: 0

Pediatric Beds: 0Columbia, MO 652016308

Administrator: Nickole Hunt, 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#: 263033

by CIHQ

Hospital Type: Rehabilitation Hospital

Swingbeds?

DHSS License # 548 Current License Expires 03/31/2020

Wednesday, February 12, 2020 Page 2 of 27

Page 3: Hospital Profiles By CountyPPS rehab unit? PPS psych unit? Accredited? CMS Provider#: 261303 by Other Hospital Type: General Acute Care Hospital Swingbeds? DHSS License # 102 Current

Rusk Rehabilitation Hospital, an affiliation of Enc315 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

Hospital Type: Rehabilitation Hospital

Swingbeds?

DHSS License # 433 Current License Expires 04/30/2020

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 DNV

Hospital Type: General Acute Care Hospital

Swingbeds?

DHSS License # Current License Expires

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

Hospital Type: General Acute Care Hospital

Swingbeds?

DHSS License # Current License Expires

County: BUCHANANLong-Term Acute Care Hospital, Mosaic Life Care5325 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 Hospital Type: Other Hospital Type

Swingbeds?

DHSS License # 513 Current License Expires 02/29/2020

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

Hospital Type: General Acute Care Hospital

Swingbeds?

DHSS License # 426 Current License Expires 11/30/2020

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

Hospital Type: Psychiatric Hospital

Swingbeds?

DHSS License # Current License Expires

Wednesday, February 12, 2020 Page 3 of 27

Page 4: Hospital Profiles By CountyPPS rehab unit? PPS psych unit? Accredited? CMS Provider#: 261303 by Other Hospital Type: General Acute Care Hospital Swingbeds? DHSS License # 102 Current

County: BUTLERPoplar Bluff Regional Medical Center3100 Oak Grove Road LTC beds: 0Med/Surg Beds: 152

Pediatric Beds: 24Poplar Bluff, MO 63901

Administrator: Bryan Bateman, 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: 240

Licensed Beds by Classification

Critical Access?PPS rehab unit?PPS psych unit?Accredited?

CMS Provider#: 260119

by JointCom

Hospital Type: General Acute Care Hospital

Swingbeds?

DHSS License # 527 Current License Expires 12/31/2020

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

Hospital Type: General Acute Care Hospital

Swingbeds?

DHSS License # 527 Current License Expires 12/31/2020

County: CALLAWAYFulton Medical Center, LLC10 South Hospital Drive LTC beds: 0Med/Surg Beds: 12

Pediatric Beds: 0Fulton, MO 65251

Administrator: Michael Reece, CEO

Phone: (573) 642-3376

Fax: (573) 642-9830

Facility ID: H014

ICU Beds: 0

Alcohol/Drug Beds 6 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 Hospital Type: General Acute Care Hospital

Swingbeds?

DHSS License # 535 Current License Expires 12/31/2020

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

Hospital Type: Psychiatric Hospital

Swingbeds?

DHSS License # Current License Expires

County: CAMDENLake Regional Health System54 Hospital Drive LTC beds: 16Med/Surg Beds: 64

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: 18

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

Hospital Type: General Acute Care Hospital

Swingbeds?

DHSS License # 291 Current License Expires 12/31/2020

Osage Beach Center for Cognitive Disorders840 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

Hospital Type: Psychiatric Hospital

Swingbeds?

DHSS License # 534 Current License Expires 05/31/2020

Wednesday, February 12, 2020 Page 4 of 27

Page 5: Hospital Profiles By CountyPPS rehab unit? PPS psych unit? Accredited? CMS Provider#: 261303 by Other Hospital Type: General Acute Care Hospital Swingbeds? DHSS License # 102 Current

County: CAPE GIRARDEAULandmark Hospital of Cape Girardeau, LLC3255 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

Hospital Type: General Acute Care Hospital

Swingbeds?

DHSS License # 496 Current License Expires 02/28/2021

Saint Francis Medical Center211 Saint Francis Drive LTC beds: 0Med/Surg Beds: 190

Pediatric Beds: 8Cape Girardeau, MO 63703

Administrator: Maryann Reese, Pres/CEO

Phone: (573) 331-3000

Fax: (573) 331-5009

Facility ID: H111

ICU Beds: 30

Alcohol/Drug Beds 0 OB Beds: 18

Rehab Beds: 24 Psych Beds: 0

NICU Beds: 36 Total Beds Lic: 306

Licensed Beds by Classification

Critical Access?PPS rehab unit?PPS psych unit?Accredited?

CMS Provider#: 260183

by JointCom

Hospital Type: General Acute Care Hospital

Swingbeds?

DHSS License # 284 Current License Expires 09/30/2020

SoutheastHEALTH1701 Lacey Street LTC beds: 0Med/Surg Beds: 159

Pediatric Beds: 9Cape 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: 24

Rehab Beds: 11 Psych Beds: 0

NICU Beds: 15 Total Beds Lic: 244

Licensed Beds by Classification

Critical Access?PPS rehab unit?PPS psych unit?Accredited?

CMS Provider#: 260110

by JointCom

Hospital Type: General Acute Care Hospital

Swingbeds?

DHSS License # 80 Current License Expires 07/31/2020

County: CARROLLCarroll 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 Hospital Type: General Acute Care Hospital

Swingbeds?

DHSS License # 210 Current License Expires 05/31/2020

County: CASSBelton 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

Hospital Type: General Acute Care Hospital

Swingbeds?

DHSS License # 491 Current License Expires 12/31/2020

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

Hospital Type: General Acute Care Hospital

Swingbeds?

DHSS License # 219 Current License Expires 02/28/2021

Wednesday, February 12, 2020 Page 5 of 27

Page 6: Hospital Profiles By CountyPPS rehab unit? PPS psych unit? Accredited? CMS Provider#: 261303 by Other Hospital Type: General Acute Care Hospital Swingbeds? DHSS License # 102 Current

County: CEDARCedar 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 Hospital Type: General Acute Care Hospital

Swingbeds?

DHSS License # 208 Current License Expires 10/31/2020

County: CLAYExcelsior Springs Hospital1700 Rainbow Boulevard LTC beds: 0Med/Surg Beds: 20

Pediatric Beds: 0Excelsior Springs, MO 64024

Administrator: Kristen DeHart, CEO

Phone: (816) 630-6081

Fax: (816) 629-2701

Facility ID: H036

ICU Beds:

Alcohol/Drug Beds 0 OB Beds: 0

Rehab Beds: 0 Psych Beds: 0

NICU Beds: 0 Total Beds Lic: 20

Licensed Beds by Classification

Critical Access?PPS rehab unit?PPS psych unit?Accredited?

CMS Provider#: 261322 Hospital Type: General Acute Care Hospital

Swingbeds?

DHSS License # 286 Current License Expires 12/31/2020

Kindred Hospital Northland500 NW 68th Street LTC beds: 0Med/Surg Beds: 50

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: 50

Licensed Beds by Classification

Critical Access?PPS rehab unit?PPS psych unit?Accredited?

CMS Provider#: 262018

by JointCom

Hospital Type: Other Hospital Type

Swingbeds?

DHSS License # 508 Current License Expires 03/31/2020

Liberty Hospital2525 Glenn Hendren Drive LTC beds: 0Med/Surg Beds: 152

Pediatric Beds: 0Liberty, 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: 36

Rehab Beds: 0 Psych Beds: 0

NICU Beds: 4 Total Beds Lic: 212

Licensed Beds by Classification

Critical Access?PPS rehab unit?PPS psych unit?Accredited?

CMS Provider#: 260177

by JointCom

Hospital Type: General Acute Care Hospital

Swingbeds?

DHSS License # 269 Current License Expires 01/31/2020

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: 40

NICU Beds: 0 Total Beds Lic: 40

Licensed Beds by Classification

Critical Access?PPS rehab unit?PPS psych unit?Accredited?

CMS Provider#: 264030

by JointCom

Hospital Type: Psychiatric Hospital

Swingbeds?

DHSS License # 551 Current License Expires 02/28/2021

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

Hospital Type: General Acute Care Hospital

Swingbeds?

DHSS License # 166 Current License Expires 05/31/2020

Wednesday, February 12, 2020 Page 6 of 27

Page 7: Hospital Profiles By CountyPPS rehab unit? PPS psych unit? Accredited? CMS Provider#: 261303 by Other Hospital Type: General Acute Care Hospital Swingbeds? DHSS License # 102 Current

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: 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

Hospital Type: Psychiatric Hospital

Swingbeds?

DHSS License # 532 Current License Expires 10/31/2020

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

Hospital Type: General Acute Care Hospital

Swingbeds?

DHSS License # 43 Current License Expires 06/30/2020

County: CLINTONCameron 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 Hospital Type: General Acute Care Hospital

Swingbeds?

DHSS License # 473 Current License Expires 07/31/2020

County: COLECapital 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

Hospital Type: General Acute Care Hospital

Swingbeds?

DHSS License # 419 Current License Expires 12/31/2020

SSM Health St. Mary's Hospital - Jefferson City2505 Mission Drive LTC beds: 0Med/Surg Beds: 108

Pediatric Beds: 0Jefferson City, MO 65109

Administrator: Mike Baumgartner, CEO

Phone: (573) 681-3000

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

Hospital Type: General Acute Care Hospital

Swingbeds?

DHSS License # 455 Current License Expires 12/31/2020

County: COOPERPinnacle Regional Hospital, LLC17651 B. Highway, P.O. Box 88 LTC beds: 0Med/Surg Beds: 32

Pediatric Beds: 0Boonville, MO 65233

Administrator: Joe Conigliaro, 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: 32

Licensed Beds by Classification

Critical Access?PPS rehab unit?PPS psych unit?Accredited?

CMS Provider#: 260004 Hospital Type: General Acute Care Hospital

Swingbeds?

DHSS License # 558 Current License Expires 09/30/2020

Wednesday, February 12, 2020 Page 7 of 27

Page 8: Hospital Profiles By CountyPPS rehab unit? PPS psych unit? Accredited? CMS Provider#: 261303 by Other Hospital Type: General Acute Care Hospital Swingbeds? DHSS License # 102 Current

County: CRAWFORDMissouri 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 Hospital Type: General Acute Care Hospital

Swingbeds?

DHSS License # 355 Current License Expires 08/31/2020

County: DENTSalem 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 Hospital Type: General Acute Care Hospital

Swingbeds?

DHSS License # 252 Current License Expires 07/31/2020

County: FRANKLINMercy Hospital Washington901 East 5th Street LTC beds: 0Med/Surg Beds: 100

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

Hospital Type: General Acute Care Hospital

Swingbeds?

DHSS License # 311 Current License Expires 04/30/2020

County: GASCONADEHermann 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 Hospital Type: General Acute Care Hospital

Swingbeds?

DHSS License # 238 Current License Expires 05/31/2020

County: GENTRYMosaic Medical Center - Albany705 N. College Street LTC beds: 0Med/Surg Beds: 35

Pediatric Beds: 0Albany, MO 64402

Administrator: Jon D. Doolittle, 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 Hospital Type: General Acute Care Hospital

Swingbeds?

DHSS License # 98 Current License Expires 06/30/2020

Wednesday, February 12, 2020 Page 8 of 27

Page 9: Hospital Profiles By CountyPPS rehab unit? PPS psych unit? Accredited? CMS Provider#: 261303 by Other Hospital Type: General Acute Care Hospital Swingbeds? DHSS License # 102 Current

County: GREENEMercy 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

Hospital Type: General Acute Care Hospital

Swingbeds?

DHSS License # 38 Current License Expires 06/30/2020

Cox Medical Centers Meyer Orthopedic and Reha3535 S National Ave LTC beds: 28Med/Surg Beds: 24

Pediatric Beds: 0Springfield, MO 65807

Administrator: Steven D. Edwards, President/CEO

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

Hospital Type: General Acute Care Hospital

Swingbeds?

DHSS License # 500 Current License Expires 07/31/2020

Cox Medical Centers North Hospital1423 North Jefferson Avenue LTC beds: 0Med/Surg Beds: 3

Pediatric Beds: 0Springfield, MO 65802

Administrator: Steven D. Edwards, President/CEO

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

Hospital Type: General Acute Care Hospital

Swingbeds?

DHSS License # 500 Current License Expires 07/31/2020

Cox Medical Centers South Hospital3801 South National Avenue LTC beds: 0Med/Surg Beds: 468

Pediatric Beds: 26Springfield, MO 65807

Administrator: Steven D. Edwards, CEO

Phone: (417) 269-6000

Fax: (417) 269-4104

Facility ID: H027

ICU Beds: 86

Alcohol/Drug Beds 0 OB Beds: 32

Rehab Beds: 0 Psych Beds: 0

NICU Beds: 34 Total Beds Lic: 646

Licensed Beds by Classification

Critical Access?PPS rehab unit?PPS psych unit?Accredited?

CMS Provider#: 260040

by Other

Hospital Type: General Acute Care Hospital

Swingbeds?

DHSS License # 500 Current License Expires 07/31/2020

Lakeland Behavioral Health System440 South Market LTC beds: 0Med/Surg Beds: 0

Pediatric Beds: 0Springfield, MO 65806

Administrator: Nate Duncan, MSW, LCSW, CEO

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

Hospital Type: Psychiatric Hospital

Swingbeds?

DHSS License # 432 Current License Expires 03/31/2020

Mercy Hospital Springfield1235 East Cherokee Street LTC beds: 0Med/Surg Beds: 594

Pediatric Beds: 29Springfield, MO 65804

Administrator: Richard Craig McCoy 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

Hospital Type: General Acute Care Hospital

Swingbeds?

DHSS License # 38 Current License Expires 06/30/2020

Wednesday, February 12, 2020 Page 9 of 27

Page 10: Hospital Profiles By CountyPPS rehab unit? PPS psych unit? Accredited? CMS Provider#: 261303 by Other Hospital Type: General Acute Care Hospital Swingbeds? DHSS License # 102 Current

Mercy Rehabilitation Hospital Springfield5904 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

Hospital Type: Rehabilitation Hospital

Swingbeds?

DHSS License # 533 Current License Expires 03/31/2020

Perimeter Behavioral Hospital of Springfield2828 North National Drive LTC beds: 0Med/Surg Beds: 0

Pediatric Beds: 0Springfield, MO 65803

Administrator: Shanti Carter, CEO

Phone: (417) 799-7474

Fax:

Facility ID: H192

ICU Beds: 0

Alcohol/Drug Beds 0 OB Beds: 0

Rehab Beds: 0 Psych Beds: 32

NICU Beds: 0 Total Beds Lic: 32

Licensed Beds by Classification

Critical Access?PPS rehab unit?PPS psych unit?Accredited?

CMS Provider#: 264033

by JointCom

Hospital Type: Psychiatric Hospital

Swingbeds?

DHSS License # 555 Current License Expires 09/30/2020

Select Specialty Hospital - Springfield1630 East Primrose Street LTC beds: 0Med/Surg Beds: 38

Pediatric Beds: 0Springfield, MO 65804

Administrator: Phillip Readinger, 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

Hospital Type: General Acute Care Hospital

Swingbeds?

DHSS License # 507 Current License Expires 01/31/2021

County: GRUNDYWright Memorial Hospital191 Iowa Boulevard LTC beds: 0Med/Surg Beds: 25

Pediatric Beds: 0Trenton, MO 64683

Administrator: Steven Schieber, 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 Hospital Type: General Acute Care Hospital

Swingbeds?

DHSS License # 413 Current License Expires 03/31/2020

County: HARRISONHarrison County Community Hospital2600 Miller Street 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 Hospital Type: General Acute Care Hospital

Swingbeds?

DHSS License # 372 Current License Expires 03/31/2020

County: HENRYGolden 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

Hospital Type: General Acute Care Hospital

Swingbeds?

DHSS License # 257 Current License Expires 01/31/2021

Wednesday, February 12, 2020 Page 10 of 27

Page 11: Hospital Profiles By CountyPPS rehab unit? PPS psych unit? Accredited? CMS Provider#: 261303 by Other Hospital Type: General Acute Care Hospital Swingbeds? DHSS License # 102 Current

Royal Oaks Hospital, Inc.307 North Main LTC beds: 0Med/Surg Beds: 0

Pediatric Beds: 0Windsor, MO 65360

Administrator: Alan W. Griemann, President/CEO

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: 54

NICU Beds: 0 Total Beds Lic: 54

Licensed Beds by Classification

Critical Access?PPS rehab unit?PPS psych unit?Accredited?

CMS Provider#: 264020

by JointCom

Hospital Type: Psychiatric Hospital

Swingbeds?

DHSS License # 488 Current License Expires 07/31/2020

County: HOWELLMercy 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

Hospital Type: General Acute Care Hospital

Swingbeds?

DHSS License # 447 Current License Expires 09/30/2020

Ozarks Medical Center1100 Kentucky Avenue, P.O. Box 1100 LTC beds: 0Med/Surg Beds: 60

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: 18

Rehab Beds: 0 Psych Beds: 24

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

Hospital Type: General Acute Care Hospital

Swingbeds?

DHSS License # 174 Current License Expires 01/31/2021

County: IRONIron County Medical Center301 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 Hospital Type: General Acute Care Hospital

Swingbeds?

DHSS License # 501 Current License Expires 11/30/2020

County: JACKSONSt. Mary's Medical Center201 NW R.D. Mize Road LTC beds: 0Med/Surg Beds: 88

Pediatric Beds: 0Blue Springs, MO 64014

Administrator: Drew Grossman, 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

Hospital Type: General Acute Care Hospital

Swingbeds?

DHSS License # 536 Current License Expires 01/31/2021

Centerpoint Medical Center19600 East 39th Street LTC beds: 0Med/Surg Beds: 198

Pediatric Beds: 0Independence, MO 64057

Administrator: Bret Kolman, 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: 285

Licensed Beds by Classification

Critical Access?PPS rehab unit?PPS psych unit?Accredited?

CMS Provider#: 260095

by JointCom

Hospital Type: General Acute Care Hospital

Swingbeds?

DHSS License # 482 Current License Expires 03/31/2020

Wednesday, February 12, 2020 Page 11 of 27

Page 12: Hospital Profiles By CountyPPS rehab unit? PPS psych unit? Accredited? CMS Provider#: 261303 by Other Hospital Type: General Acute Care Hospital Swingbeds? DHSS License # 102 Current

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

Hospital Type: Psychiatric Hospital

Swingbeds?

DHSS License # Current License Expires

Children's Mercy Hospital2401 Gillham Road LTC beds: 0Med/Surg Beds: 10

Pediatric Beds: 176Kansas City, MO 64108

Administrator: Paul D. Kempinski, CEO

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

Hospital Type: General Acute Care Hospital

Swingbeds?

DHSS License # 39 Current License Expires 12/31/2020

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

Hospital Type: Psychiatric Hospital

Swingbeds?

DHSS License # 87 Current License Expires 07/31/2020

Research Medical Center2316 East Meyer Boulevard LTC beds: 0Med/Surg Beds: 360

Pediatric Beds: 0Kansas City, MO 64132

Administrator: Ashley McClellan, CEO

Phone: (816) 276-4000

Fax: (816) 276-4387

Facility ID: H089

ICU Beds: 40

Alcohol/Drug Beds 0 OB Beds: 41

Rehab Beds: 27 Psych Beds: 0

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

Hospital Type: General Acute Care Hospital

Swingbeds?

DHSS License # 497 Current License Expires 03/31/2020

Research Medical Center - Brookside Campus6601 Rockhill Road LTC beds: 0Med/Surg Beds: 3

Pediatric Beds: 0Kansas City, MO 64131

Administrator: Ashley McClellan, 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

Hospital Type: General Acute Care Hospital

Swingbeds?

DHSS License # 497 Current License Expires 03/31/2020

Research Psychiatric Center - A Campus of Rese2323 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

Hospital Type: Psychiatric Hospital

Swingbeds?

DHSS License # 497 Current License Expires 03/31/2020

Saint Luke's Hospital of Kansas City4401 Wornall Road LTC beds: 0Med/Surg Beds: 311

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: 76

Rehab Beds: 17 Psych Beds: 0

NICU Beds: 67 Total Beds Lic: 548

Licensed Beds by Classification

Critical Access?PPS rehab unit?PPS psych unit?Accredited?

CMS Provider#: 260138

by JointCom

Hospital Type: General Acute Care Hospital

Swingbeds?

DHSS License # 87 Current License Expires 07/31/2020

Wednesday, February 12, 2020 Page 12 of 27

Page 13: Hospital Profiles By CountyPPS rehab unit? PPS psych unit? Accredited? CMS Provider#: 261303 by Other Hospital Type: General Acute Care Hospital Swingbeds? DHSS License # 102 Current

St. Joseph Medical Center1000 Carondelet Drive LTC beds: 0Med/Surg Beds: 142

Pediatric Beds: 0Kansas City, MO 64114

Administrator: Jodi Fincher, CEO

Phone: (816) 942-4400

Fax: (816) 943-3131

Facility ID: H116

ICU Beds: 49

Alcohol/Drug Beds 0 OB Beds: 26

Rehab Beds: 16 Psych Beds: 23

NICU Beds: 15 Total Beds Lic: 271

Licensed Beds by Classification

Critical Access?PPS rehab unit?PPS psych unit?Accredited?

CMS Provider#: 260085

by JointCom

Hospital Type: General Acute Care Hospital

Swingbeds?

DHSS License # 537 Current License Expires 01/31/2021

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: 0

NICU Beds: 19 Total Beds Lic: 199

Licensed Beds by Classification

Critical Access?PPS rehab unit?PPS psych unit?Accredited?

CMS Provider#: 260048

by JointCom

Hospital Type: General Acute Care Hospital

Swingbeds?

DHSS License # 285 Current License Expires 11/30/2020

Truman Medical Center - Hospital Hill 2 Center1000 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

Hospital Type: General Acute Care Hospital

Swingbeds?

DHSS License # 285 Current License Expires 11/30/2020

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

Hospital Type: General Acute Care Hospital

Swingbeds?

DHSS License # 195 Current License Expires 11/30/2020

Lee's Summit Medical Center2100 SE Blue Parkway LTC beds: 0Med/Surg Beds: 70

Pediatric Beds: 0Lee's Summit, MO 64063

Administrator: John McDonald, 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: 80

Licensed Beds by Classification

Critical Access?PPS rehab unit?PPS psych unit?Accredited?

CMS Provider#: 260190

by JointCom

Hospital Type: General Acute Care Hospital

Swingbeds?

DHSS License # 505 Current License Expires 07/31/2020

Saint Luke's East Hospital100 N. E. Saint Luke's Boulevard LTC beds: 0Med/Surg Beds: 145

Pediatric Beds: 0Lee's Summit, MO 64086

Administrator: Robert Olm-Shipman

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

Hospital Type: General Acute Care Hospital

Swingbeds?

DHSS License # 495 Current License Expires 01/31/2021

Wednesday, February 12, 2020 Page 13 of 27

Page 14: Hospital Profiles By CountyPPS rehab unit? PPS psych unit? Accredited? CMS Provider#: 261303 by Other Hospital Type: General Acute Care Hospital Swingbeds? DHSS License # 102 Current

County: JASPERMercy 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 Hospital Type: General Acute Care Hospital

Swingbeds?

DHSS License # 523 Current License Expires 12/31/2020

County: JEFFERSONMercy Hospital Jefferson1400 Highway 61 South, P.O. Box 350 LTC beds: 0Med/Surg Beds: 200

Pediatric Beds: 2Crystal 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: 11

Rehab Beds: 42 Psych Beds: 38

NICU Beds: 0 Total Beds Lic: 321

Licensed Beds by Classification

Critical Access?PPS rehab unit?PPS psych unit?Accredited?

CMS Provider#: 260023

by JointCom

Hospital Type: General Acute Care Hospital

Swingbeds?

DHSS License # 529 Current License Expires 01/31/2021

County: JOHNSONWestern Missouri Medical Center403 Burkarth Road LTC beds: 0Med/Surg Beds: 24

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: 62

Licensed Beds by Classification

Critical Access?PPS rehab unit?PPS psych unit?Accredited?

CMS Provider#: 260097

by JointCom

Hospital Type: General Acute Care Hospital

Swingbeds?

DHSS License # 221 Current License Expires 07/31/2020

County: LACLEDEMercy Hospital Lebanon100 Hospital Drive LTC beds: 0Med/Surg Beds: 44

Pediatric Beds: 0Lebanon, MO 65536

Administrator: Jenine Vincent, 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

Hospital Type: General Acute Care Hospital

Swingbeds?

DHSS License # 450 Current License Expires 03/31/2020

County: LAFAYETTELafayette 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

Hospital Type: General Acute Care Hospital

Swingbeds?

DHSS License # 478 Current License Expires 03/31/2020

Wednesday, February 12, 2020 Page 14 of 27

Page 15: Hospital Profiles By CountyPPS rehab unit? PPS psych unit? Accredited? CMS Provider#: 261303 by Other Hospital Type: General Acute Care Hospital Swingbeds? DHSS License # 102 Current

County: LAWRENCEMercy 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

Hospital Type: General Acute Care Hospital

Swingbeds?

DHSS License # 469 Current License Expires 10/31/2020

County: LINCOLNMercy 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

Hospital Type: General Acute Care Hospital

Swingbeds?

DHSS License # 539 Current License Expires 02/28/2021

County: LINNPershing (General John J) Memorial Hospital130 East Lockling LTC beds: 0Med/Surg Beds: 25

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: 25

Licensed Beds by Classification

Critical Access?PPS rehab unit?PPS psych unit?Accredited?

CMS Provider#: 261307 Hospital Type: General Acute Care Hospital

Swingbeds?

DHSS License # 198 Current License Expires 12/31/2020

County: LIVINGSTONHedrick 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

Hospital Type: General Acute Care Hospital

Swingbeds?

DHSS License # 422 Current License Expires 04/30/2020

County: MACONMacon County Samaritan Memorial Hospital1205 North Missouri St LTC beds: 0Med/Surg Beds: 25

Pediatric Beds: 0Macon, MO 63552

Administrator: Bernard A. Orman, Jr., Administrator

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 Hospital Type: General Acute Care Hospital

Swingbeds?

DHSS License # 178 Current License Expires 03/31/2020

Wednesday, February 12, 2020 Page 15 of 27

Page 16: Hospital Profiles By CountyPPS rehab unit? PPS psych unit? Accredited? CMS Provider#: 261303 by Other Hospital Type: General Acute Care Hospital Swingbeds? DHSS License # 102 Current

County: MADISONMadison 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 Hospital Type: General Acute Care Hospital

Swingbeds?

DHSS License # 209 Current License Expires 02/28/2021

County: MARIONHannibal 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

Hospital Type: General Acute Care Hospital

Swingbeds?

DHSS License # 101 Current License Expires 08/31/2020

County: NEWTONFreeman 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

Hospital Type: General Acute Care Hospital

Swingbeds?

DHSS License # 418 Current License Expires 02/29/2020

Freeman Health System - West1102 West 32nd Street LTC beds: 0Med/Surg Beds: 228

Pediatric Beds: 9Joplin, MO 64804

Administrator: Paula Baker, President & CEO

Phone: (417) 347-1111

Fax: (417) 347-6646

Facility ID: H040

ICU Beds: 52

Alcohol/Drug Beds 0 OB Beds: 25

Rehab Beds: 0 Psych Beds: 0

NICU Beds: 24 Total Beds Lic: 338

Licensed Beds by Classification

Critical Access?PPS rehab unit?PPS psych unit?Accredited?

CMS Provider#: 260137

by AOA

Hospital Type: General Acute Care Hospital

Swingbeds?

DHSS License # 418 Current License Expires 02/28/2021

Landmark Hospital of Joplin, LLC2040 W. 32nd Street LTC beds: 0Med/Surg Beds: 30

Pediatric Beds: 0Joplin, MO 64804

Administrator: Lee Simpson, CEO

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

Hospital Type: General Acute Care Hospital

Swingbeds?

DHSS License # 503 Current License Expires 04/30/2020

Mercy Hospital Joplin100 Mercy Way LTC beds: 0Med/Surg Beds: 116

Pediatric Beds: 11Joplin, MO 64804

Administrator: Jeremy Drinkwitz, CEO

Phone: (417) 781-2727

Fax: (417) 625-2910

Facility ID: H115

ICU Beds: 48

Alcohol/Drug Beds 0 OB Beds: 19

Rehab Beds: 0 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

Hospital Type: General Acute Care Hospital

Swingbeds?

DHSS License # 540 Current License Expires 02/29/2020

Wednesday, February 12, 2020 Page 16 of 27

Page 17: Hospital Profiles By CountyPPS rehab unit? PPS psych unit? Accredited? CMS Provider#: 261303 by Other Hospital Type: General Acute Care Hospital Swingbeds? DHSS License # 102 Current

Freeman Neosho Hospital113 West Hickory Street LTC beds: 0Med/Surg Beds: 45

Pediatric Beds: 0Neosho, MO 64850

Administrator: Renee Denton, Administrative Servic

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 Hospital Type: General Acute Care Hospital

Swingbeds?

DHSS License # 402 Current License Expires 12/31/2020

County: NODAWAYMosaic Medical Center - Maryville2016 South Main Street LTC beds: 0Med/Surg Beds: 52

Pediatric Beds: 0Maryville, MO 64468

Administrator: Mark Laney, CEO

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: 19

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

Hospital Type: General Acute Care Hospital

Swingbeds?

DHSS License # 559 Current License Expires 03/31/2020

County: PEMISCOTPemiscot County Memorial Hospital946 East Reed LTC beds: 66Med/Surg Beds: 42

Pediatric Beds: 0Hayti, MO 63851

Administrator: Jonna Green, 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 Hospital Type: General Acute Care Hospital

Swingbeds?

DHSS License # 15 Current License Expires 06/30/2020

County: PERRYPerry 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

Hospital Type: General Acute Care Hospital

Swingbeds?

DHSS License # 442 Current License Expires 03/31/2020

County: PETTISBothwell Regional Health Center601 East 14th Street, P.O. Box 1706 LTC beds: 0Med/Surg Beds: 79

Pediatric Beds: 8Sedalia, MO 65301

Administrator: Lori Wightman, CEO

Phone: (660) 826-8833

Fax: (660) 827-6804

Facility ID: H012

ICU Beds: 0

Alcohol/Drug Beds 0 OB Beds: 12

Rehab Beds: 0 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#: 260009

by JointCom

Hospital Type: General Acute Care Hospital

Swingbeds?

DHSS License # 22 Current License Expires 06/30/2020

County: PHELPSPhelps Health1000 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

Hospital Type: General Acute Care Hospital

Swingbeds?

DHSS License # 14 Current License Expires 06/30/2020

Wednesday, February 12, 2020 Page 17 of 27

Page 18: Hospital Profiles By CountyPPS rehab unit? PPS psych unit? Accredited? CMS Provider#: 261303 by Other Hospital Type: General Acute Care Hospital Swingbeds? DHSS License # 102 Current

County: PIKEPike County Memorial Hospital2305 Georgia Street LTC beds: 0Med/Surg Beds: 25

Pediatric Beds: 0Louisiana, MO 63353

Administrator: Tylie Mills, 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

Hospital Type: General Acute Care Hospital

Swingbeds?

DHSS License # 85 Current License Expires 07/31/2020

County: PLATTESaint 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

Hospital Type: General Acute Care Hospital

Swingbeds?

DHSS License # 365 Current License Expires 01/31/2021

County: POLKCitizens Memorial Hospital1500 North Oakland Ave LTC beds: 0Med/Surg Beds: 50

Pediatric Beds: 0Bolivar, MO 65613

Administrator: Gary Fulbright, CEO

Phone: (417) 328-6501

Fax: (417) 328-6338

Facility ID: H023

ICU Beds: 8

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

Hospital Type: General Acute Care Hospital

Swingbeds?

DHSS License # 313 Current License Expires 08/31/2020

County: PUTNAMPutnam 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 Hospital Type: General Acute Care Hospital

Swingbeds?

DHSS License # 222 Current License Expires 09/30/2020

County: RANDOLPHMoberly Regional Medical Center1515 Union Avenue LTC beds: 0Med/Surg Beds: 69

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

Hospital Type: General Acute Care Hospital

Swingbeds?

DHSS License # 506 Current License Expires 12/31/2020

Wednesday, February 12, 2020 Page 18 of 27

Page 19: Hospital Profiles By CountyPPS rehab unit? PPS psych unit? Accredited? CMS Provider#: 261303 by Other Hospital Type: General Acute Care Hospital Swingbeds? DHSS License # 102 Current

County: RAYRay 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 Hospital Type: General Acute Care Hospital

Swingbeds?

DHSS License # 93 Current License Expires 08/31/2020

County: SALINEFitzgibbon Hospital2305 South 65 Highway, P.O. Box 250 LTC beds: 0Med/Surg Beds: 36

Pediatric Beds: 0Marshall, MO 65340

Administrator: Angela P. Littrell, 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 Hospital Type: General Acute Care Hospital

Swingbeds?

DHSS License # 27 Current License Expires 06/30/2020

County: SCOTLANDScotland County Hospital450 E. Sigler Avenue LTC beds: 0Med/Surg Beds: 21

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: 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#: 261310 Hospital Type: General Acute Care Hospital

Swingbeds?

DHSS License # 363 Current License Expires 12/31/2020

County: SCOTTMissouri Delta Medical Center1008 North Main Street LTC beds: 0Med/Surg Beds: 61

Pediatric Beds: 7Sikeston, 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: 11

Rehab Beds: 11 Psych Beds: 23

NICU Beds: 0 Total Beds Lic: 125

Licensed Beds by Classification

Critical Access?PPS rehab unit?PPS psych unit?Accredited?

CMS Provider#: 260113

by JointCom

Hospital Type: General Acute Care Hospital

Swingbeds?

DHSS License # 100 Current License Expires 08/31/2020

County: ST CHARLESSSM Health Rehabilitation Hospital - Lake St. Lou100 Medical Plaza , 5th Floor LTC beds: 0Med/Surg Beds: 0

Pediatric Beds: 0Lake St. Louis, MO 63367

Administrator: Jason Rubel, 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

by JointCom

Hospital Type: Rehabilitation Hospital

Swingbeds?

DHSS License # 545 Current License Expires 05/31/2020

SSM Health St. Joseph Hospital - Lake Saint Loui100 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

Hospital Type: General Acute Care Hospital

Swingbeds?

DHSS License # 381 Current License Expires 12/31/2020

Wednesday, February 12, 2020 Page 19 of 27

Page 20: Hospital Profiles By CountyPPS rehab unit? PPS psych unit? Accredited? CMS Provider#: 261303 by Other Hospital Type: General Acute Care Hospital Swingbeds? DHSS License # 102 Current

Progress West Hospital2 Progress Point Pkwy LTC beds: 0Med/Surg Beds: 42

Pediatric Beds: 2O'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: 6 Total Beds Lic: 76

Licensed Beds by Classification

Critical Access?PPS rehab unit?PPS psych unit?Accredited?

CMS Provider#: 260219

by JointCom

Hospital Type: General Acute Care Hospital

Swingbeds?

DHSS License # 502 Current License Expires 01/31/2020

CenterPointe Hospital4801 Weldon Spring Parkway LTC beds: 0Med/Surg Beds: 0

Pediatric Beds: 0St. Charles, MO 63304

Administrator: Scott Williams, CEO

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

Hospital Type: Psychiatric Hospital

Swingbeds?

DHSS License # 475 Current License Expires 03/31/2020

Select Specialty Hospital-St. Louis300 1st Capitol Drive LTC beds: 0Med/Surg Beds: 33

Pediatric Beds: 0St. Charles, MO 63301

Administrator: Bruce Eady, 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

Hospital Type: Other Hospital Type

Swingbeds?

DHSS License # 458 Current License Expires 02/28/2021

SSM Health St. Joseph Hospital - St. Charles300 First Capitol Drive LTC beds: 0Med/Surg Beds: 255

Pediatric Beds: 0St. Charles, MO 63301

Administrator: Lisle Wescott, 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

Hospital Type: General Acute Care Hospital

Swingbeds?

DHSS License # 494 Current License Expires 10/31/2020

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

Hospital Type: General Acute Care Hospital

Swingbeds?

DHSS License # 357 Current License Expires 08/31/2020

The Rehabilitation Institute of St. Louis, an affiliat10 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

Hospital Type: Rehabilitation Hospital

Swingbeds?

DHSS License # 467 Current License Expires 03/31/2020

SSM Health St. Joseph Hospital - Wentzville500 Medical Drive LTC beds: 0Med/Surg Beds: 0

Pediatric Beds: 0Wentzville, MO 63385

Administrator: Lisle Wescott, 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

Hospital Type: General Acute Care Hospital

Swingbeds?

DHSS License # 494 Current License Expires 10/31/2020

Wednesday, February 12, 2020 Page 20 of 27

Page 21: Hospital Profiles By CountyPPS rehab unit? PPS psych unit? Accredited? CMS Provider#: 261303 by Other Hospital Type: General Acute Care Hospital Swingbeds? DHSS License # 102 Current

County: ST CLAIREllett Memorial Hospital610 North Ohio Avenue LTC beds: 0Med/Surg Beds: 12

Pediatric Beds: 0Appleton City, MO 64724

Administrator: Laura Smith, 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 Hospital Type: General Acute Care Hospital

Swingbeds?

DHSS License # 270 Current License Expires 02/28/2021

County: ST FRANCOISParkland Health Center-Bonne Terre7245 Raider Road LTC beds: 0Med/Surg Beds: 3

Pediatric Beds: 0Bonne Terre, MO 63628

Administrator: Lynn Rasnick, 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 Hospital Type: General Acute Care Hospital

Swingbeds?

DHSS License # 474 Current License Expires 12/31/2020

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

Hospital Type: General Acute Care Hospital

Swingbeds?

DHSS License # 379 Current License Expires 10/31/2020

Southeast Missouri Mental Health Center1010 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

Hospital Type: Psychiatric Hospital

Swingbeds?

DHSS License # Current License Expires

County: ST LOUISSSM Health DePaul Hospital - St. Louis12303 DePaul Drive LTC beds: 52Med/Surg Beds: 282

Pediatric Beds: 0Bridgeton, MO 63044

Administrator: Ellis Hawkins, President

Phone: (314) 344-6000

Fax: (314) 344-6840

Facility ID: H032

ICU Beds: 44

Alcohol/Drug Beds 0 OB Beds: 27

Rehab Beds: 0 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

Hospital Type: General Acute Care Hospital

Swingbeds?

DHSS License # 414 Current License Expires 03/31/2020

SSM Health Rehabilitation Hospital - Bridgeton12380 DePaul Drive LTC beds: 0Med/Surg Beds: 0

Pediatric Beds: 0Bridgeton, MO 63044

Administrator: Jason Rubel, 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

Hospital Type: Rehabilitation Hospital

Swingbeds?

DHSS License # 522 Current License Expires 12/31/2020

Wednesday, February 12, 2020 Page 21 of 27

Page 22: Hospital Profiles By CountyPPS rehab unit? PPS psych unit? Accredited? CMS Provider#: 261303 by Other Hospital Type: General Acute Care Hospital Swingbeds? DHSS License # 102 Current

Mercy Rehabilitation Hospital St. Louis14561 North Outer Forty LTC beds: 0Med/Surg Beds: 0

Pediatric Beds: 0Chesterfield, MO 63017

Administrator: Jerry Rumph, 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

Hospital Type: Rehabilitation Hospital

Swingbeds?

DHSS License # 504 Current License Expires 06/30/2020

St. Luke's Hospital232 South Woods Mill Road LTC beds: 0Med/Surg Beds: 375

Pediatric Beds: 12Chesterfield, MO 63017

Administrator: Christine Candio, President and CE

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

Hospital Type: General Acute Care Hospital

Swingbeds?

DHSS License # 274 Current License Expires 05/31/2020

St. Luke's Rehabilitation Hospital14709 Olive Boulevard LTC beds: 0Med/Surg Beds: 0

Pediatric Beds: 0Chesterfield, MO 63017

Administrator: Donald Foster, 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

Hospital Type: Rehabilitation Hospital

Swingbeds?

DHSS License # 560 Current License Expires 07/31/2020

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

Hospital Type: General Acute Care Hospital

Swingbeds?

DHSS License # 368 Current License Expires 10/31/2020

SSM Health St. Clare Hospital - Fenton1015 Bowles Ave LTC beds: 0Med/Surg Beds: 136

Pediatric Beds: 0Fenton, MO 63026

Administrator: Tina Garrison, President

Phone: (636) 496-2000

Fax:

Facility ID: H106

ICU Beds: 16

Alcohol/Drug Beds 0 OB Beds: 22

Rehab Beds: 0 Psych Beds: 0

NICU Beds: 4 Total Beds Lic: 180

Licensed Beds by Classification

Critical Access?PPS rehab unit?PPS psych unit?Accredited?

CMS Provider#: 260081

by JointCom

Hospital Type: General Acute Care Hospital

Swingbeds?

DHSS License # 456 Current License Expires 12/31/2020

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

Hospital Type: General Acute Care Hospital

Swingbeds?

DHSS License # 425 Current License Expires 09/30/2020

Ranken Jordan Pediatric Bridge Hospital11365 Dorsett Road LTC beds: 0Med/Surg Beds: 0

Pediatric Beds: 60Maryland Heights, MO 63043

Administrator: R. Brett Moorehouse, 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 Hospital Type: General Acute Care Hospital

Swingbeds?

DHSS License # 472 Current License Expires 06/30/2020

Wednesday, February 12, 2020 Page 22 of 27

Page 23: Hospital Profiles By CountyPPS rehab unit? PPS psych unit? Accredited? CMS Provider#: 261303 by Other Hospital Type: General Acute Care Hospital Swingbeds? DHSS License # 102 Current

SSM Health Rehabilitation Hospital - Richmond H1027 Bellevue Avenue LTC beds: 0Med/Surg Beds: 0

Pediatric Beds: 0Richmond Heights, MO 63117

Administrator: Jason Rubel, 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

Hospital Type: Rehabilitation Hospital

Swingbeds?

DHSS License # 518 Current License Expires 11/30/2020

SSM Health St. Mary's Hospital - St. Louis6420 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: 42 Total Beds Lic: 501

Licensed Beds by Classification

Critical Access?PPS rehab unit?PPS psych unit?Accredited?

CMS Provider#: 260091

by JointCom

Hospital Type: General Acute Care Hospital

Swingbeds?

DHSS License # 383 Current License Expires 12/31/2020

Hawthorn Children's Psychiatric Hospital1901 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

Hospital Type:

Swingbeds?

DHSS License # Current License Expires

Christian Hospital Northeast-Northwest11133 Dunn Road LTC beds: 0Med/Surg Beds: 438

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: 0

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

Hospital Type: General Acute Care Hospital

Swingbeds?

DHSS License # 425 Current License Expires 09/30/2020

Hawthorn Children's Psychiatric Hospital1901 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

Hospital Type:

Swingbeds?

DHSS License # Current License Expires

Kindred Hospital St. Louis South10018 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

Hospital Type: General Acute Care Hospital

Swingbeds?

DHSS License # 444 Current License Expires 01/31/2021

Mercy Hospital South10010 Kennerly Road LTC beds: 0Med/Surg Beds: 541

Pediatric Beds: 0St. Louis, MO 63128

Administrator: Sean Hogan, 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

Hospital Type: General Acute Care Hospital

Swingbeds?

DHSS License # 273 Current License Expires 02/29/2020

Wednesday, February 12, 2020 Page 23 of 27

Page 24: Hospital Profiles By CountyPPS rehab unit? PPS psych unit? Accredited? CMS Provider#: 261303 by Other Hospital Type: General Acute Care Hospital Swingbeds? DHSS License # 102 Current

Mercy Hospital St. Louis615 South New Ballas Road LTC beds: 0Med/Surg Beds: 382

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: 859

Licensed Beds by Classification

Critical Access?PPS rehab unit?PPS psych unit?Accredited?

CMS Provider#: 260020

by JointCom

Hospital Type: General Acute Care Hospital

Swingbeds?

DHSS License # 226 Current License Expires 11/30/2020

Select Specialty Hospital - Town and Country3015 N. Ballas Rd. 5th Floor LTC beds: 0Med/Surg Beds: 38

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: 38

Licensed Beds by Classification

Critical Access?PPS rehab unit?PPS psych unit?Accredited?

CMS Provider#: 262013

by JointCom

Hospital Type: General Acute Care Hospital

Swingbeds?

DHSS License # 546 Current License Expires 12/31/2020

Shriners Hospitals for Children4400 Clayton Ave LTC beds: 0Med/Surg Beds: 0

Pediatric Beds: 12St. Louis, MO 63110

Administrator: Mark Veneble, 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

Hospital Type: Other Hospital Type

Swingbeds?

DHSS License # 142 Current License Expires 04/30/2020

St. Luke's Des Peres Hospital2345 Dougherty Ferry Road LTC beds: 0Med/Surg Beds: 128

Pediatric Beds: 0St. Louis, MO 63122

Administrator: Christine Candio, 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

Hospital Type: General Acute Care Hospital

Swingbeds?

DHSS License # 522 Current License Expires 04/30/2020

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

Hospital Type: General Acute Care Hospital

Swingbeds?

DHSS License # 234 Current License Expires 11/30/2020

County: ST LOUIS CITYBarnes-Jewish HospitalOne Barnes Jewish Hospital Plaza LTC beds: 0Med/Surg Beds: 677

Pediatric Beds: 0St. Louis, MO 63110

Administrator: Bob Cannon, President

Phone: (314) 747-3000

Fax: (314) 362-0468

Facility ID: H006

ICU Beds: 173

Alcohol/Drug Beds 0 OB Beds: 0

Rehab Beds: 0 Psych Beds: 46

NICU Beds: 0 Total Beds Lic: 896

Licensed Beds by Classification

Critical Access?PPS rehab unit?PPS psych unit?Accredited?

CMS Provider#: 260032

by JointCom

Hospital Type: General Acute Care Hospital

Swingbeds?

DHSS License # 421 Current License Expires 01/31/2021

Wednesday, February 12, 2020 Page 24 of 27

Page 25: Hospital Profiles By CountyPPS rehab unit? PPS psych unit? Accredited? CMS Provider#: 261303 by Other Hospital Type: General Acute Care Hospital Swingbeds? DHSS License # 102 Current

Barnes-Jewish Hospital - NorthOne Parkview Place LTC beds: 0Med/Surg Beds: 380

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: 482

Licensed Beds by Classification

Critical Access?PPS rehab unit?PPS psych unit?Accredited?

CMS Provider#: 260032

by JointCom

Hospital Type: General Acute Care Hospital

Swingbeds?

DHSS License # 421 Current License Expires 01/31/2021

Barnes-Jewish Hospital - Psychiatric Support Ce5355 Delmar Blvd LTC beds: 0Med/Surg Beds: 0

Pediatric Beds: 0St. Louis, MO 63112

Administrator: Robert Cannon, CEO

Phone: (314) 514-3535

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

Hospital Type: Psychiatric Hospital

Swingbeds?

DHSS License # 421 Current License Expires 01/31/2021

Kindred Hospital - St. Louis4930 Lindell Boulevard LTC beds: 0Med/Surg Beds: 60

Pediatric Beds: 0St. Louis, MO 63108

Administrator: Kevin Shrake, 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

Hospital Type: General Acute Care Hospital

Swingbeds?

DHSS License # 444 Current License Expires 01/31/2021

Metropolitan St. Louis Psychiatric Center5351 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

Hospital Type: Psychiatric Hospital

Swingbeds?

DHSS License # Current License Expires

SSM Health Cardinal Glennon Children's Hospital1465 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

Hospital Type: Other Hospital Type

Swingbeds?

DHSS License # 429 Current License Expires 12/31/2020

SSM Health Saint Louis University Hospital3635 Vista Avenue LTC beds: 0Med/Surg Beds: 239

Pediatric Beds: 0St. Louis, MO 63110

Administrator: Steven Scott, 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

Hospital Type: General Acute Care Hospital

Swingbeds?

DHSS License # 542 Current License Expires 08/31/2020

SSM Health Saint Louis University Hospital - Sout1755 South Grand Boulevard LTC beds: 0Med/Surg Beds: 12

Pediatric Beds: 0St. Louis, MO 63104

Administrator: Steven Scott, 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

Hospital Type: General Acute Care Hospital

Swingbeds?

DHSS License # 542 Current License Expires 08/31/2020

Wednesday, February 12, 2020 Page 25 of 27

Page 26: Hospital Profiles By CountyPPS rehab unit? PPS psych unit? Accredited? CMS Provider#: 261303 by Other Hospital Type: General Acute Care Hospital Swingbeds? DHSS License # 102 Current

St. Alexius Hospital - Broadway3933 South Broadway LTC beds: 0Med/Surg Beds: 87

Pediatric Beds: 0St. Louis, MO 63118

Administrator: Russell Kraeger, 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

Hospital Type: General Acute Care Hospital

Swingbeds?

DHSS License # 561 Current License Expires 02/28/2021

St. Louis Children's HospitalOne Children's Place LTC beds: 0Med/Surg Beds: 0

Pediatric Beds: 186St. Louis, MO 63110

Administrator: Trish Lollo, 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

Hospital Type: Other Hospital Type

Swingbeds?

DHSS License # 324 Current License Expires 03/31/2020

St. Louis Psychiatric Rehabilitation Center5300 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

Hospital Type: Psychiatric Hospital

Swingbeds?

DHSS License # Current License Expires

The Rehabilitation Institute of St. Louis, an affiliat4455 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

Hospital Type: Rehabilitation Hospital

Swingbeds?

DHSS License # 467 Current License Expires 03/31/2020

County: STE GENEVIEVESte Genevieve County Memorial Hospital800 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 Hospital Type: General Acute Care Hospital

Swingbeds?

DHSS License # 245 Current License Expires 03/31/2020

County: STODDARDSoutheastHEALTH Center of Stoddard County1200 North One Mile Road LTC beds: 0Med/Surg Beds: 29

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: 15

NICU Beds: 0 Total Beds Lic: 48

Licensed Beds by Classification

Critical Access?PPS rehab unit?PPS psych unit?Accredited?

CMS Provider#: 260160 Hospital Type: General Acute Care Hospital

Swingbeds?

DHSS License # 526 Current License Expires 12/31/2020

Wednesday, February 12, 2020 Page 26 of 27

Page 27: Hospital Profiles By CountyPPS rehab unit? PPS psych unit? Accredited? CMS Provider#: 261303 by Other Hospital Type: General Acute Care Hospital Swingbeds? DHSS License # 102 Current

County: SULLIVANSullivan County Memorial Hospital630 West 3rd Street LTC beds: 10Med/Surg Beds: 15

Pediatric Beds: 0Milan, MO 63556

Administrator: Tony Keene , 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 Hospital Type: General Acute Care Hospital

Swingbeds?

DHSS License # 130 Current License Expires 12/31/2020

County: TANEYCox 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 & CE

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

Hospital Type: General Acute Care Hospital

Swingbeds?

DHSS License # 52 Current License Expires 06/30/2020

County: TEXASTexas 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 Hospital Type: General Acute Care Hospital

Swingbeds?

DHSS License # 172 Current License Expires 01/31/2021

County: VERNONHeartland Behavioral Health Services1500 West Ashland LTC beds: 0Med/Surg Beds: 0

Pediatric Beds: 0Nevada, MO 64772

Administrator: Alyson Harder, MSW, LCSW, CEO

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#: licensed o Hospital Type: Psychiatric Hospital

Swingbeds?

DHSS License # 323 Current License Expires 02/28/2021

Nevada Regional Medical Center800 South Ash Street LTC beds: 0Med/Surg Beds: 25

Pediatric Beds: 0Nevada, MO 64772

Administrator: Steve Branstetter, CEO

Phone: (417) 667-3355

Fax: (417) 448-3848

Facility ID: H071

ICU Beds: 6

Alcohol/Drug Beds 0 OB Beds: 10

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

Hospital Type: General Acute Care Hospital

Swingbeds?

DHSS License # 190 Current License Expires 04/30/2020

County: WASHINGTONWashington 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 Hospital Type: General Acute Care Hospital

Swingbeds?

DHSS License # 224 Current License Expires 11/30/2020

Wednesday, February 12, 2020 Page 27 of 27