Jefferson Memorial Hospital Association – General Acute Care Hospital, NPI 1508859661

Jefferson Memorial Hospital Association is a healthcare provider. based in Crystal city, Missouri. specializing in General Acute Care Hospital. The organization holds a License No. 160-47 (MO). The NPI Number for Jefferson Memorial Hospital Association is 1508859661

Main info

Organization
Name
Jefferson Memorial Hospital Association
NPI
1508859661
Phone
(636) 933-1000
Address
PO BOX 350
Authorized Official
MR. DAN ECKENFELS PRESIDENT
Enumeration Date
24 August 2005
Last Update Date
9 April 2024
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience64
Completeness80
Years active:20State licenses:1Digital endpointsUpdated within 12 months

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Provider Addresses for Jefferson Memorial Hospital Association

  • PO BOX 350

    CRYSTAL CITY, MO 630190350

    Phone: (636) 933-1000

    Fax: (636) 933-1819

    Type: Mailing

  • 1400 US HIGHWAY 61

    FESTUS, MO 630284100

    Phone: (636) 933-1000

    Fax: (636) 933-1819

    Type: Mailing

  • Old Highway 21A, Bailey, Festus, River View Township, Jefferson County, Missouri, 63028, United States

    FESTUS, MO 630284100

    Phone: (636) 933-1000

    Fax: (636) 933-1819

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2007-12-05

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 2 Medicare enrollment records; no due dates published yet.

Enrollment records

2

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
O20050518000926OClinic/Group PracticeMOTBD
O20071205000418OHospitalMOTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 63019)

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Reviews

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Frequently asked questions

How do I look up Jefferson Memorial Hospital Association by NPI?
Use NPI 1508859661 when you need to reference Jefferson Memorial Hospital Association in forms, claims, or directories.
Is Jefferson Memorial Hospital Association active in the national directory?
Jefferson Memorial Hospital Association's public NPI profile is in an active state.
What field does Jefferson Memorial Hospital Association work in?
You can think of Jefferson Memorial Hospital Association as practicing within General Acute Care Hospital. Clinical services aligned with this taxonomy classification.
Where does public data place Jefferson Memorial Hospital Association?
The snapshot lists Crystal City, Missouri for Jefferson Memorial Hospital Association; download NPPES for the complete set.
Is Jefferson Memorial Hospital Association a real provider?
This page reflects official NPPES data for NPI 1508859661. Always confirm identity and privileges with the practice and licensing boards.

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