Citizens Memorial Healthcare

Primary specialty

Rural Health Clinic/CenterTaxonomy code 261QR1300X

Legal business name

CITIZENS MEMORIAL HEALTHCARE

Practice address

Hwy 254 & Dallas
Hermitage, MO 65668-0125

Phone

(417) 745-2121

NPI assigned

May 10, 2007

Organization subpart

Yes

Parent organization

CITIZENS MEMORIAL HOSPITAL DISTRICTAs reported in NPPES

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

Authorized official

Name

Donald J Babb

Title

Ceo

Phone

(417) 326-6000

Specialties & licenses 2

Addresses

Other names 1

• Hermitage Family Medical Center Doing business as

Part of

James L Molchan MD

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

{
    "created_epoch": "1178755200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1443052800000",
    "number": "1043424708",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 125",
            "city": "HERMITAGE",
            "state": "MO",
            "postal_code": "656680125",
            "telephone_number": "417-745-2121"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "HWY 254 & DALLAS",
            "city": "HERMITAGE",
            "state": "MO",
            "postal_code": "656680125",
            "telephone_number": "417-745-2121"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CITIZENS MEMORIAL HEALTHCARE",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "CITIZENS MEMORIAL HOSPITAL DISTRICT",
        "enumeration_date": "2007-05-10",
        "last_updated": "2015-09-24",
        "status": "A",
        "authorized_official_last_name": "BABB",
        "authorized_official_first_name": "DONALD",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "417-326-6000"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QR1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rural Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Hermitage Family Medical Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Cynthia Appel, PMHNP
• Staci Dione Beem, PHYSICAL THERAPIST
• Christian Health Care of Hermitage, Inc.
• Citizens Memorial Health Care Foundation
• Aaron Brent Daulton
• Patricia A Drennon, RN, MSN, PMHNP
• Derrick Bennet Eichstadt, D.C.
• Dalsia Farrow
• Amy M Greenspan, D.D.S.

• Rural Health Clinic/Center in Hermitage, MO
• Providers in Hermitage, MO by specialty
• Rural Health Clinic/Center in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 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.