NPIMap

Organization Active NPI

Cameron Regional Medical Center, Inc.

  • Rehabilitation Hospital Unit
  • Cameron, MO
National Provider Identifier
1215076393
Registry record updated Oct 15, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rehabilitation Hospital UnitTaxonomy code 273Y00000X
License
473-4 Issued in MO
Legal business name
CAMERON REGIONAL MEDICAL CENTER, INC.
Practice address
1600 E Evergreen St
Cameron, MO 64429-2400
Phone
(816) 635-2101
Fax
(816) 649-3833
NPI assigned
Feb 6, 2007
Last updated
Oct 15, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 15, 2014

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
Rehabilitation Hospital Unit 273Y00000X 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

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20080130000409 MO Part A Provider - Hospital 5092622001 3 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Cameron, MO; Lathrop, MO; Lawson, MO; Bethany, MO
O20080627000197 MO Part A Provider - Hospital 5092622001 Practice locations: Cameron, MO

NPI to CCN mapping 2

The Medicare certification numbers (CCNs) connected to NPI 1215076393. Details of each certification follow.

Hospital certification: CCN 260057

Legal name
CAMERON REGIONAL MEDICAL CENTER INC
Doing business as
CAMERON REGIONAL MEDICAL CENTER, INC
Certification status
Active
Provider type (POS)
Hospital – Short-term
Participating since
Jul 1, 1966
Last certification
Jan 26, 2023
Beds
60
Ownership / control type
Private (not for profit)
Organization structure
CorporationNon-profit
Incorporated
Jun 28, 1963 in MO
Enrollment address
1600 E Evergreen St
Cameron, MO 64429-2400
Other Hospital Practice Location
Hospital subgroups
Acute care

Hospital certification: CCN 26T057

Legal name
CAMERON REGIONAL MEDICAL CENTER INC
Doing business as
CAMERON REGIONAL MEDICAL CENTER INC
Organization structure
CorporationNon-profit
Enrollment address
1600 E Evergreen St
Cameron, MO 64429-2400
Other Hospital Practice Location
Hospital subgroups
General, Rehabilitation unit

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

View all 14

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

Other NPIs on the same Medicare enrollment 3

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

Care Compare: Hospital

Medicare Care Compare
Listed as
Cameron Regional Medical CenterCCN 260057 · All quality measures
Overall star rating
1 of 5
Type
Acute Care Hospitals
Ownership
Voluntary non-profit - Private
Medicare certification status
ActiveFrom the Provider of Services file
Emergency services
Yes

Care Compare: Inpatient rehabilitation facility

Medicare Care Compare
Listed as
Cameron Regional Medical CtrCCN 26T057 · All quality measures
Ownership
Non-profit
Certified
Oct 1, 2002

National Provider Directory

National Provider Directory

Ownership & related parties

All disclosed owners & managing parties 10

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

NameRoleSinceShare
Mike Brown Individual Corporate DirectorBoard Member Jan 30, 2008
Corporate DirectorBoard Member Aug 5, 2014
David Just Individual Corporate DirectorBoard Member Jan 30, 2008
Corporate DirectorBoard Member Aug 5, 2014
Steve Tinnen Individual Corporate DirectorBoard Member Jan 30, 2008
Corporate DirectorBoard Member Aug 5, 2014
Barbara Ballew Individual Corporate DirectorBoard Member Jan 1, 2009
Corporate DirectorBoard Member Aug 5, 2014
Cameron Regional Medical Center Inc Organization, Cameron, MO Non-profit 5% Or Greater Direct Ownership Interest Jul 1, 1966 100%
5% Or Greater Direct Ownership Interest Apr 1, 2009 100%
Warren McElwain Individual Corporate DirectorBoard Member Jan 30, 2008
Corporate DirectorBoard Member Aug 5, 2014
Jennifer White Individual Corporate DirectorBoard Member Jan 30, 2008
Joseph F Abrutz Individual Corporate DirectorCeo Dec 1, 2014
W-2 Managing EmployeeCeo Apr 1, 1991
Operational/Managerial ControlCeo Dec 1, 2014
Corporate DirectorCeo Apr 1, 2009
W-2 Managing EmployeeCeo Apr 1, 2009
Operational/Managerial ControlCeo Apr 1, 2009
Mike Poland Individual Corporate DirectorBoard Member Jan 30, 2008
Corporate DirectorBoard Member Aug 5, 2014
Jennifer White Individual Corporate DirectorBoard Member Aug 5, 2014

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 26U057 Hospital 5% Or Greater Direct Ownership Interest (100%) Oct 23, 1984
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 153

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

View all 153

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": "1413331200000",
    "number": "1215076393",
    "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": "816-635-2101",
            "fax_number": "816-649-3833"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CAMERON REGIONAL MEDICAL CENTER, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-06",
        "last_updated": "2014-10-15",
        "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": "273Y00000X",
            "taxonomy_group": "",
            "desc": "Rehabilitation Unit",
            "state": "MO",
            "license": "473-4",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cameron, MO

Sources for this page

Verify at the official NPI Registry.