Cameron Regional Medical Center, Inc.
Organization Active NPI Medicare Defined Swing Bed Hospital Unit · Cameron, MO
NPI 1124167200 · NPPES record last updated Apr 9, 2008
Key facts
- NPI
- 1124167200
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Medicare Defined Swing Bed Hospital Unit 275N00000X
- License
- 473-4 (MO)
- Legal business name
- CAMERON REGIONAL MEDICAL CENTER, INC.
- Practice address
- 1600 E Evergreen St
Cameron, MO 64429-2400 - Phone
- (816) 632-2101
- Fax
- (816) 649-3833
- NPI assigned
- Feb 6, 2007
- Organization subpart
- No
Authorized official
- Name
- Mr. Joseph F Abrutz
- Title
- Administrator
- Phone
- (816) 632-2101
Owners & managing parties with NPI records 16
Owned or controlled facilities with NPI records 16
Other NPIs with the same Medicare PAC ID 16
Corporate family (same tax ID) 23
Related certifications (CCN) 4
Facilities with the same owner 14
Practitioners 66
-
Dennis Jorge Albino, M.D.
-
Muhammad Mudassar Amin, M.D.
-
David Ash, M.D.
-
Joshuah C Barnes, APRN
-
John D Barth, DO
-
Jacob M Barton, NP
-
Thomas F Bembynista, DPM
-
Cristi Campbell, FNP
-
Richard D Campbell, ANP
-
Marci Rhea Cline, FNP-C
-
Richard D. Coats, M.D.
-
Amy Leigh Daily, FNP-C
-
Kendall P Deselms, DO, DC
-
Cassi Macrae Deskins, FNPC
-
Dawn M Estes, RN, FNP-C
-
Jessica Gilgour, FNP
-
Arihant Jain, M.D.
Affiliated clinicians 7
-
Muhammad Mudassar Amin, M.D.
-
Kendall P Deselms, DO, DC
-
Arihant Jain, M.D.
-
Shahzad Shafique, M.D.
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MO
Hospital certification: CCN 26U057
- Legal name
- CAMERON REGIONAL MEDICAL CENTER INC
- Doing business as
- CAMERON REGIONAL MEDICAL CENTER INC
- Organization structure
- Corporation · Non-profit
- Incorporated
- Jun 28, 1963 in MO
- Enrollment address
- 1600 E Evergreen St
Cameron, MO 64429-2400 - Hospital subgroups
- Short-term
All disclosed owners & managing parties 2
| Name | Role | Since | Share |
|---|---|---|---|
| Cameron Regional Medical Center Inc |
5% Or Greater Direct Ownership Interest | Oct 23, 1984 | 100% |
| Joseph F Abrutz |
Corporate Director |
Oct 17, 2011 | |
| W-2 Managing Employee |
Oct 17, 2011 |
All facility ownership & control disclosures 14
| Facility | Type | Role | Since |
|---|---|---|---|
| Cameron Regional Medical Center, Inc |
Hospital | 5% Or Greater Direct Ownership Interest (100%) | Jul 1, 1966 |
| Behaviorial Health Unit |
Hospital | 5% Or Greater Direct Ownership Interest (100%) | Mar 10, 2015 |
| Cameron Regional Medical Center Inc |
Hospital | 5% Or Greater Direct Ownership Interest (100%) | Apr 1, 2009 |
| Cameron Regional Medical Center Home Health Agency |
Home health agency | 5% Or Greater Direct Ownership Interest (100%) | Jun 1, 1983 |
| Comfort Care Hospice |
Hospice | 5% Or Greater Direct Ownership Interest (100%) Operational/Managerial Control |
Nov 24, 1993 Nov 24, 1993 |
| Plattsburg Family Medicine |
Rural health clinic | 5% Or Greater Direct Ownership Interest (100%) Operational/Managerial Control (100%) |
Oct 28, 1999 Oct 28, 1999 |
| Hamilton Family Health Center |
Rural health clinic | 5% Or Greater Direct Ownership Interest (100%) | Jul 20, 1993 |
| Jamesport Outreach Clinic |
Rural health clinic | 5% Or Greater Direct Ownership Interest (100%) Operational/Managerial Control (100%) |
Jul 22, 1992 Jul 22, 1992 |
| Polo Family Health Center |
Rural health clinic | 5% Or Greater Direct Ownership Interest (100%) | Feb 1, 1995 |
| Gallatin Family Medicine Clinic |
Rural health clinic | 5% Or Greater Direct Ownership Interest (100%) | Dec 12, 2008 |
| Eagleville Medical Clinic |
Rural health clinic | 5% Or Greater Indirect Ownership Interest (100%) | Jan 2, 2014 |
| Maysville Family Health Clinic |
Rural health clinic | 5% Or Greater Direct Ownership Interest (100%) | Jan 1, 2016 |
| Walnut Medical Clinic |
Rural health clinic | 5% Or Greater Direct Ownership Interest (100%) | Apr 1, 2020 |
| King City Family Health |
Rural health clinic | 5% Or Greater Direct Ownership Interest (100%) | Jan 2, 2024 |
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20111207000828 | MO | Part a Provider - Hospital | 5092622001 | Practice locations: Cameron, MO |
National Provider Directory
- Tax ID family
- Cameron Regional Med CT
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Medicare Defined Swing Bed Hospital Unit | 275N00000X | 473-4 | MO | Yes |
Addresses
Primary practice location
1600 E Evergreen St
Cameron, MO 64429-2400
Mailing address
1600 E Evergreen St
PO Box 557
Cameron, MO 64429-2400
Phone (816) 632-2101
Other names
- Swing Bed Services
Other providers in Cameron, MO
- Cameron Regional Medical Center Inc
- Cameron Regional Medical Center Inc
- Cameron Regional Medical Center Inc
- Cameron Regional Medical Center, Inc
- Cameron Regional Medical Center, Inc.
- Cameron Regional Medical Center, Inc.
- Cameron Regional Medical Center, Inc.
- Cristi Campbell
- Richard D Campbell
- Mark Landis Carr
All providers in Cameron, MO · Medicare Defined Swing Bed Hospital Unit in Missouri
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 9, 2008. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- CMS facility enrollments, All Owners and change-of-ownership files: CCNs, owners and managing parties.
- Provider of Services files (CMS): certification status, beds and related CCNs.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.