Citizens Memorial Health Care Foundation

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

License

13241672 Issued in MO

Legal business name

CITIZENS MEMORIAL HEALTH CARE FOUNDATION

Practice address

105 N Grand St Ste 3
Greenfield, MO 65661-8198

Phone

(417) 637-0700

Fax

(417) 326-3591

NPI assigned

Mar 14, 2012

Last updated

Mar 24, 2015By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Ms. Renee Marie Meyer

Title

Director of Finance

Phone

(417) 328-6258

Specialties & licenses 1

Addresses

Other identifiers 1

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1331683200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1427155200000",
    "number": "1003181777",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1500 N OAKLAND AVE",
            "city": "BOLIVAR",
            "state": "MO",
            "postal_code": "656133011",
            "telephone_number": "417-326-6000",
            "fax_number": "417-328-6242"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "105 N GRAND ST STE 3",
            "city": "GREENFIELD",
            "state": "MO",
            "postal_code": "656618198",
            "telephone_number": "417-637-0700",
            "fax_number": "417-326-3591"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CITIZENS MEMORIAL HEALTH CARE FOUNDATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-03-14",
        "last_updated": "2015-03-24",
        "status": "A",
        "authorized_official_last_name": "MEYER",
        "authorized_official_first_name": "RENEE",
        "authorized_official_middle_name": "MARIE",
        "authorized_official_title_or_position": "DIRECTOR OF FINANCE",
        "authorized_official_telephone_number": "417-328-6258",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "MO",
            "license": "13241672",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "621752500",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Nicole Betty, MD, MPH
• Lauretta M Britz, FNP
• Julie Burton, C.O.T.A.
• Citizens Memorial Healthcare (Dade County Family Medical Center)
• Dade County Health Center (Dade County Health Department)
• Dade County Nursing Home District
• Freeze Pharmacy LLC (Greenfield Pharmacy)
• Freeze Pharmacy LLC (Greenfield Pharmacy)

• Durable Medical Equipment & Medical Supplies in Greenfield, MO
• Providers in Greenfield, MO by specialty
• Durable Medical Equipment & Medical Supplies in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 24, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.