Carroll County Memorial Hospital – Critical Access Hospital, NPI 1528067113
Critical Access Hospital
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Profile Insights
NPPES metrics only — not quality of care.
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Provider Addresses for Carroll County Memorial Hospital
1502, Carrollton Avenue, Metairie, Jefferson Parish, Louisiana, 70005, United States
CARROLLTON, MO 646331948
Phone: (660) 542-1695
Fax: (660) 542-0363
Type: Mailing
Carroll County Memorial Hospital, 1502, North Jefferson Street, Carrollton, Carroll County, Missouri, 64633, United States
CARROLLTON, MO 646331948
Phone: (660) 542-1695
Fax: (660) 542-0363
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: 2012-04-19
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Past revalidation due date
Earliest CMS due date was 2024-03-31 (801 days ago).
Enrollment records
3
Earliest due date
2024-03-31
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| O20040407000120 | O | Clinic/Group Practice | MO | 2024-03-31 |
| O20061104000585 | O | Critical Access Hospital | MO | TBD |
| O20120419000092 | O | Critical Access Hospital | MO | TBD |
What to do next
- Verify current status on the CMS Revalidation Lookup Tool immediately.
- Complete revalidation in PECOS or contact your Medicare Administrative Contractor (MAC).
- Overdue revalidation can lead to deactivation of Medicare billing privileges.
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 64633)
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