NPIMap

Organization Active NPI

Bolivar Medical Center, Inc.

  • Ph.D. Medical Genetics
  • Bolivar, MO
National Provider Identifier
1063442887
Registry record updated Jan 20, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ph.D. Medical GeneticsTaxonomy code 170100000X
Legal business name
BOLIVAR MEDICAL CENTER, INC.
Practice address
714 N Pomme de Terre Ave
Bolivar, MO 65613-1241
Phone
(417) 326-4000
Fax
(417) 326-6400
NPI assigned
Jul 4, 2006
Last updated
Jan 20, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 20, 2015

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

Authorized official

Name
Joseph D Follis, APRN, BCNPI 1780666214
Title
Owner/President
Phone
(417) 326-4000

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ph.D. Medical Genetics 170100000X NU Primary

Addresses

Primary practice location

714 N Pomme de Terre Ave
Bolivar, MO 65613-1241

Mailing address

714 N Pomme de Terre Ave
Bolivar, MO 65613-1241
Phone (417) 326-4000

National Provider Directory

National Provider Directory
Tax ID family
Bolivar Medical Center Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

714 N Pomme de Terre Ave
Bolivar, MO 65613
Phone (417) 326-4000

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1151971200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1421712000000",
    "number": "1063442887",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "714 N POMME DE TERRE AVE",
            "city": "BOLIVAR",
            "state": "MO",
            "postal_code": "656131241",
            "telephone_number": "417-326-4000",
            "fax_number": "417-326-6400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "714 N POMME DE TERRE AVE",
            "city": "BOLIVAR",
            "state": "MO",
            "postal_code": "656131241",
            "telephone_number": "417-326-4000",
            "fax_number": "417-326-6400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BOLIVAR MEDICAL CENTER, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-04",
        "last_updated": "2015-01-20",
        "status": "A",
        "authorized_official_last_name": "FOLLIS",
        "authorized_official_first_name": "JOSEPH",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "OWNER/PRESIDENT",
        "authorized_official_telephone_number": "417-326-4000",
        "authorized_official_credential": "APRN, BC"
    },
    "taxonomies": [
        {
            "code": "170100000X",
            "taxonomy_group": "",
            "desc": "Medical Genetics, Ph.D. Medical Genetics",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bolivar, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 20, 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.