Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Pinnacle Regional Hospital, LLC

Organization Emergency Medicine Physician · NPI 1780160366

Pinnacle Regional Hospital, LLC is an Emergency Medicine Physician in Boonville, Missouri. Licensed in Missouri. Registered with an NPI since 2018.

Licensed in
MO
In the registry since
2018
Specialties on file
3
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

17651 B Hwy
Boonville, MO 65233-2839
Phone: (660) 882-7461
Fax: (660) 882-6093
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Emergency Medicine Physician (primary) Taxonomy 207P00000X · Licence 248-47 (MO)
Family Medicine Physician Taxonomy 207Q00000X · Licence 248-47 (MO)
Rheumatology Physician Taxonomy 207RR0500X · Licence 248-47 (MO)

Record details

NPI number1780160366
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Jennifer Skanes — Credentialing Contact · (660) 882-7461
NPI enumeratedJuly 17, 2018
Last updated in NPPESMarch 12, 2019
Mailing address4770 N Belleview Ave Ste 205, Kansas City, MO 64116-2119

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