NPIMap

Organization Active NPI

Cameron Regional Medical Center, Inc.

Doing business as Swing Bed Services

  • Medicare Defined Swing Bed Hospital Unit
  • Cameron, MO
National Provider Identifier
1124167200
Registry record updated Apr 9, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medicare Defined Swing Bed Hospital UnitTaxonomy code 275N00000X
License
473-4 Issued in MO
Legal business name
CAMERON REGIONAL MEDICAL CENTER, INC.
Doing business as
Swing Bed Services
Practice address
1600 E Evergreen St
Cameron, MO 64429-2400
Phone
(816) 632-2101
Fax
(816) 649-3833
NPI assigned
Feb 6, 2007
Last updated
Apr 9, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 9, 2008

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

Authorized official

Name
Mr. Joseph F Abrutz
Title
Administrator
Phone
(816) 632-2101

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medicare Defined Swing Bed Hospital Unit 275N00000X 473-4 MO Primary

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 1

  • Swing Bed Services Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20111207000828 MO Part A Provider - Hospital 5092622001 Practice locations: Cameron, MO

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1124167200. Details of each certification follow.

Hospital certification: CCN 26U057

Legal name
CAMERON REGIONAL MEDICAL CENTER INC
Doing business as
CAMERON REGIONAL MEDICAL CENTER INC
Organization structure
CorporationNon-profit
Incorporated
Jun 28, 1963 in MO
Enrollment address
1600 E Evergreen St
Cameron, MO 64429-2400
Hospital Swing-Bed Unit
Hospital subgroups
Short-term

Facilities connected through Provider of Services related, parent or unit certification numbers.

Other NPIs with the same Medicare PAC ID 16

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

View all 16

National Provider Directory

National Provider Directory
Tax ID family
Cameron Regional Medicl24 organizations share this tax ID, including this one

Other organizations with this tax ID 23

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

View all 23

Ownership & related parties

All disclosed owners & managing parties 2

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Cameron Regional Medical Center Inc Organization, Cameron, MO Corporation 5% Or Greater Direct Ownership Interest Oct 23, 1984 100%
Joseph F Abrutz Individual Corporate DirectorAdministrator Oct 17, 2011
W-2 Managing EmployeeAdministrator Oct 17, 2011

Owners & managing parties with NPI records 16

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

View all 16

All facility ownership & control disclosures 14

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Cameron Regional Medical Center, IncCameron, MO, CCN 260057 Hospital 5% Or Greater Direct Ownership Interest (100%) Jul 1, 1966
Behaviorial Health UnitCameron, MO, CCN 26S057 Hospital 5% Or Greater Direct Ownership Interest (100%) Mar 10, 2015
Cameron Regional Medical Center IncCameron, MO, CCN 26T057 Hospital 5% Or Greater Direct Ownership Interest (100%) Apr 1, 2009
Cameron Regional Medical Center Home Health AgencyCameron, MO, CCN 267140 Home health agency 5% Or Greater Direct Ownership Interest (100%) Jun 1, 1983
Comfort Care HospiceCameron, MO, CCN 261542 Hospice 5% Or Greater Direct Ownership Interest (100%)
Operational/Managerial Control		 Nov 24, 1993
Nov 24, 1993
Plattsburg Family MedicinePlattsburg, MO, CCN 268586 Rural health clinic 5% Or Greater Direct Ownership Interest (100%)
Operational/Managerial Control (100%)		 Oct 28, 1999
Oct 28, 1999
Hamilton Family Health CenterHamilton, MO, CCN 263404 Rural health clinic 5% Or Greater Direct Ownership Interest (100%) Jul 20, 1993
Jamesport Outreach ClinicJamesport, MO, CCN 263988 Rural health clinic 5% Or Greater Direct Ownership Interest (100%)
Operational/Managerial Control (100%)		 Jul 22, 1992
Jul 22, 1992
Polo Family Health CenterPolo, MO, CCN 263446 Rural health clinic 5% Or Greater Direct Ownership Interest (100%) Feb 1, 1995
Gallatin Family Medicine ClinicGallatin, MO, CCN 268632 Rural health clinic 5% Or Greater Direct Ownership Interest (100%) Dec 12, 2008
Eagleville Medical ClinicEagleville, MO, CCN 268700 Rural health clinic 5% Or Greater Indirect Ownership Interest (100%) Jan 2, 2014
Maysville Family Health ClinicMaysville, MO, CCN 268738 Rural health clinic 5% Or Greater Direct Ownership Interest (100%) Jan 1, 2016
Walnut Medical ClinicCameron, MO, CCN 268780 Rural health clinic 5% Or Greater Direct Ownership Interest (100%) Apr 1, 2020
King City Family HealthKing City, MO, CCN 268803 Rural health clinic 5% Or Greater Direct Ownership Interest (100%) Jan 2, 2024

Owned or controlled facilities with NPI records 16

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

View all 16

Facilities with the same owner 14

Facilities that share an organizational owner with 5% or greater ownership or operational control.

View all 14

Practitioners & affiliated clinicians

Affiliated clinicians 7

Clinicians who list this facility as an affiliation in Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1170720000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1207699200000",
    "number": "1124167200",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1600 E EVERGREEN ST",
            "address_2": "PO BOX 557",
            "city": "CAMERON",
            "state": "MO",
            "postal_code": "644292400",
            "telephone_number": "816-632-2101",
            "fax_number": "816-649-3383"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1600 E EVERGREEN ST",
            "city": "CAMERON",
            "state": "MO",
            "postal_code": "644292400",
            "telephone_number": "816-632-2101",
            "fax_number": "816-649-3833"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CAMERON REGIONAL MEDICAL CENTER, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-06",
        "last_updated": "2008-04-09",
        "status": "A",
        "authorized_official_last_name": "ABRUTZ",
        "authorized_official_first_name": "JOSEPH",
        "authorized_official_middle_name": "F",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "816-632-2101",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "275N00000X",
            "taxonomy_group": "",
            "desc": "Medicare Defined Swing Bed Unit",
            "state": "MO",
            "license": "473-4",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Swing Bed Services",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Cameron, MO

Sources for this page

Verify at the official NPI Registry.