Cameron Regional Medical Center Inc
Organization Active NPI Rural Health Clinic/Center · Hamilton, MO
NPI 1306850698 · NPPES record last updated Sep 25, 2014
Key facts
- NPI
- 1306850698
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Rural Health Clinic/Center 261QR1300X
- Legal business name
- CAMERON REGIONAL MEDICAL CENTER INC
- Practice address
- 103 N Davis
Hamilton, MO 64644-1143 - Phone
- (816) 583-7839
- Fax
- (816) 583-7842
- NPI assigned
- Jul 29, 2006
- Organization subpart
- No
Authorized official
- Name
- Mr. Joseph F Abrutz Jr.
- Title
- Ceo
- 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.
Laboratory certificates & supplier records
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 26D0886817 | Hamilton Family Health Center | Provider-performed microscopy | Aug 1, 2026 |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MO
Rural health clinic certification: CCN 263404
- Legal name
- CAMERON REGIONAL MEDICAL CENTER INC
- Doing business as
- HAMILTON FAMILY HEALTH CENTER
- Certification status
- Active
- Provider type (POS)
- Rural health clinic
- Participating since
- Jul 20, 1993
- Last certification
- Nov 23, 2020
- Ownership / control type
- 2B
- Organization structure
- Corporation · Non-profit
- Incorporated
- Jun 28, 1963 in MO
- Enrollment address
- 103 North Davis St
Hamilton, MO 64644-1143 - Related CCNs
- 260057
All disclosed owners & managing parties 9
| Name | Role | Since | Share |
|---|---|---|---|
| Mike Brown |
Corporate Director |
Jan 30, 2008 | |
| David Just |
Corporate Director |
Jan 30, 2008 | |
| Steve Tinnen |
Corporate Director |
Jan 30, 2008 | |
| Barbara Ballew |
Corporate Director |
Aug 5, 2014 | |
| Cameron Regional Medical Center Inc |
5% Or Greater Direct Ownership Interest | Jul 20, 1993 | 100% |
| Warren McElwain |
Corporate Director |
Jan 30, 2008 | |
| Jennifer White |
Corporate Director |
Jan 30, 2008 | |
| Joseph F Abrutz |
5% Or Greater Indirect Ownership Interest | Aug 5, 2014 | 5% |
| Corporate Director | Sep 30, 2014 | 5% | |
| W-2 Managing Employee | Sep 30, 2014 | 5% | |
| Mike Poland |
Corporate Director |
Jan 30, 2008 |
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 Inc |
Hospital | 5% Or Greater Direct Ownership Interest (100%) | Oct 23, 1984 |
| 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 |
| 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 |
|---|---|---|---|---|
| O20080130000191 | MO | Part a Provider - Rural Health Clinic | 5092622001 | Practice locations: Hamilton, MO |
National Provider Directory
- Tax ID family
- Cameron Regional Med CT
Locations
221 E 7th St
Cameron, MO 64429
Phone (816) 632-2111
103 N Davis St
Hamilton, MO 64644
Phone (816) 583-7839
110 Central Ave
Pattonsburg, MO 64670
Phone (660) 367-2218
101 E Meadowbrook Ln
Polo, MO 64671
Phone (816) 354-2550
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Rural Health Clinic/Center | 261QR1300X | Yes |
Addresses
Primary practice location
103 N Davis
Hamilton, MO 64644-1143
Mailing address
1600 E Evergreen St
PO Box 557
Cameron, MO 64429-2400
Phone (816) 649-3348
Other names
- Hamilton Family Health Center
Other providers in Hamilton, MO
- Judith Ann Alden
- Megan Allsup
- Callie Jo Bowen
- Bowens Point Chiropractic, LLC
- Shawn Wayne Brown
- Sarah Margaret Connelly
- Kala Ann Cummings
- Manon Ellsworth
- Hamilton No 1 Inc
- Hamilton R-II School District
All providers in Hamilton, MO · Rural Health Clinic/Center in Missouri
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 25, 2014. 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.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.