Citizens Memorial Hospital District

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

Legal business name

CITIZENS MEMORIAL HOSPITAL DISTRICT

Doing business as

CMH Buffalo Community Pharmacy

Practice address

315 S Ash St
Buffalo, MO 65622-8705

Phone

(417) 345-2321

Fax

(417) 345-8837

NPI assigned

Aug 6, 2013

Last updated

Jan 31, 2025By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Renee Marie Meyer

Title

Cfo

Phone

(417) 328-6258

Specialties & licenses 3

Addresses

Other identifiers 2

Other names 1

• CMH Buffalo Community Pharmacy Doing business as

Medicare fee-for-service enrollment

Enrolled in MO2 enrollments

Enrollment records 2

Other NPIs with the same Medicare PAC ID 6

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

• Citizens Memorial Hospital District

  • Psychiatric Hospital Unit
  • Bolivar, MO
  • NPI 1003945213

  2769574433

  Same PAC ID
• Citizens Memorial Hospital District

  dba Citizens Memorial Hospital

  • General Acute Care Hospital
  • Bolivar, MO
  • NPI 1003981549

  2769574433

  Same PAC ID
• Citizens Memorial Hospital District

  • Emergency Medicine Physician
  • Bolivar, MO
  • NPI 1558548818

  2769574433

  Same PAC ID
• Citizens Memorial Hospital District

  dba Stephens Pharmacy at CMH

  • Pharmacy
  • Bolivar, MO
  • NPI 1801318472

  2769574433

  Same PAC ID
• Citizens Memorial Hospital District

  dba CMH Dialysis Center

  • End-Stage Renal Disease (ESRD) Treatment Clinic/Center
  • Bolivar, MO
  • NPI 1821970385

  2769574433

  Same PAC ID
• Citizens Memorial Hospital District

  • Medicare Defined Swing Bed Hospital Unit
  • Bolivar, MO
  • NPI 1841328424

  2769574433

  Same PAC ID

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

Medicare medical equipment & supply locations

Tax ID family

Citizens Memorial District12 organizations share this tax ID, including this one

Other organizations with this tax ID 11

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

• Citizens Memorial Healthcare

  • Athletic Trainer
  • Bolivar, MO
  • NPI 1578608345
  NPD tax ID
• Citizens Memorial Healthcare District

  dba Citizens Memorial Hospital

  • Land Ambulance
  • Bolivar, MO
  • NPI 1407985591
  NPD tax ID
• Citizens Memorial Healthcare District

  • Pharmacist
  • Bolivar, MO
  • NPI 1548475403
  NPD tax ID
• Citizens Memorial Hospital District

  • Psychiatric Hospital Unit
  • Bolivar, MO
  • NPI 1003945213
  NPD tax ID
• Citizens Memorial Hospital District

  dba Citizens Memorial Hospital

  • General Acute Care Hospital
  • Bolivar, MO
  • NPI 1003981549
  NPD tax ID
• Citizens Memorial Hospital District

  dba Citizens Memorial Outpatient Pharmacy

  • Community/Retail Pharmacy
  • Bolivar, MO
  • NPI 1053712109
  NPD tax ID
• Citizens Memorial Hospital District

  dba CMH Specialty Pharmacy

  • Specialty Pharmacy
  • Bolivar, MO
  • NPI 1417820580
  NPD tax ID
• Citizens Memorial Hospital District

  dba CMH Mobile Diagnostics

  • Durable Medical Equipment & Medical Supplies
  • Bolivar, MO
  • NPI 1619303823
  NPD tax ID
• Citizens Memorial Hospital District

  dba Stephens Pharmacy at CMH

  • Pharmacy
  • Bolivar, MO
  • NPI 1801318472
  NPD tax ID
• Citizens Memorial Hospital District

  • Medicare Defined Swing Bed Hospital Unit
  • Bolivar, MO
  • NPI 1841328424
  NPD tax ID
• Citizens Memorial Hospital District

  dba CMH Portable Mobile Xray

  • Portable X-ray and/or Other Portable Diagnostic Imaging Supplier
  • Bolivar, MO
  • NPI 1932545043
  NPD tax ID

Locations

All facility ownership & control disclosures 19

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

Owned or controlled facilities with NPI records 19

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

• Citizens Memorial Healthcare

  dba Bolivar Family Care Center

  • Rural Health Clinic/Center
  • Bolivar, MO
  • NPI 1063588960

  5% Or Greater Direct Ownership Interest, Operational/Managerial Control

  CMS ownership
• Citizens Memorial Healthcare

  dba Southside Medical Center

  • Rural Health Clinic/Center
  • Bolivar, MO
  • NPI 1407141153

  5% Or Greater Direct Ownership Interest, Operational/Managerial Control

  CMS ownership
• Citizens Memorial Healthcare

  dba Ash Grove Family Medical Center

  • Rural Health Clinic/Center
  • Ash Grove, MO
  • NPI 1417161449

  5% Or Greater Direct Ownership Interest, Operational/Managerial Control

  CMS ownership
• Citizens Memorial Healthcare

  dba Stockton Family Medical Center

  • Rural Health Clinic/Center
  • Stockton, MO
  • NPI 1447464227

  5% Or Greater Direct Ownership Interest, Operational/Managerial Control

  CMS ownership
• Citizens Memorial Healthcare

  dba Humansville Family Medical Center

  • Rural Health Clinic/Center
  • Humansville, MO
  • NPI 1508070269

  5% Or Greater Direct Ownership Interest, Operational/Managerial Control

  CMS ownership
• Citizens Memorial Healthcare

  dba CMH Willard Medical Center

  • Rural Health Clinic/Center
  • Willard, MO
  • NPI 1568127397

  5% Or Greater Direct Ownership Interest, Operational/Managerial Control

  CMS ownership
• Citizens Memorial Healthcare

  dba CMH Osceola Medical Center

  • Rural Health Clinic/Center
  • Osceola, MO
  • NPI 1578961454

  5% Or Greater Direct Ownership Interest, Operational/Managerial Control

  CMS ownership
• Citizens Memorial Healthcare

  dba Dallas County Family Medical Center

  • Rural Health Clinic/Center
  • Buffalo, MO
  • NPI 1609080571

  5% Or Greater Direct Ownership Interest, Operational/Managerial Control

  CMS ownership
• Citizens Memorial Healthcare

  dba Dade County Family Medical Center

  • Rural Health Clinic/Center
  • Greenfield, MO
  • NPI 1699989350

  5% Or Greater Direct Ownership Interest, Operational/Managerial Control

  CMS ownership
• Citizens Memorial Healthcare

  dba Pleasant Hope Family Medical Center

  • Rural Health Clinic/Center
  • Pleasant Hope, MO
  • NPI 1740494541

  5% Or Greater Direct Ownership Interest, Operational/Managerial Control

  CMS ownership
• Citizens Memorial Healthcare

  dba Butterfield Park Medical Center

  • Rural Health Clinic/Center
  • Bolivar, MO
  • NPI 1831303502

  5% Or Greater Direct Ownership Interest, Operational/Managerial Control

  CMS ownership
• Citizens Memorial Healthcare

  dba CMH El Dorado Springs Medical Center

  • Rural Health Clinic/Center
  • El Dorado Springs, MO
  • NPI 1851834659

  5% Or Greater Direct Ownership Interest, Operational/Managerial Control

  CMS ownership

Practitioners 105

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.

• Richard C Adams, PSYD

  • Psychologist
  • Bolivar, MO
  • NPI 1205925427
  NPD
• Garrett Monk Alderfer, MD

  • Internal Medicine Physician
  • Bolivar, MO
  • NPI 1932424603
  NPD
• Michel Anderson, FNP

  • Nurse Practitioner
  • Houston, MO
  • NPI 1174973879
  NPD
• Chibuike Chimdiya Anokwute, MD

  • Emergency Medicine Physician
  • Aurora, MO
  • NPI 1669731741
  NPD
• Marcelo Assmann, MD

  • Emergency Medicine Physician
  • Springfield, MO
  • NPI 1982068805
  NPD
• Sean Bandzar, MD

  • Emergency Medicine Physician
  • Kansas City, MO
  • NPI 1972967461
  NPD
• Tracy L Beckham, CRNA

  • Certified Registered Nurse Anesthetist
  • Springfield, MO
  • NPI 1285892380
  NPD
• Magen Morine Blades, P.A.

  • Physician Assistant
  • Springfield, MO
  • NPI 1811162852
  NPD
• Michael P Bliss, CRNA

  • Certified Registered Nurse Anesthetist
  • Springfield, MO
  • NPI 1659348472
  NPD
• Mark Darl Brecheisen Jr., D.O.

  • Emergency Medicine Physician
  • Bolivar, MO
  • NPI 1740503416
  NPD
• Jason Brooks, CRNA

  • Certified Registered Nurse Anesthetist
  • Bolivar, MO
  • NPI 1205811924
  NPD
• Shannon Lynn Buslepp, FNP-BC

  • Family Medicine Physician
  • Independence, MO
  • NPI 1730967597
  NPD

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

{
    "created_epoch": "1375747200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1738281600000",
    "number": "1427480995",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1500 N OAKLAND AVE",
            "city": "BOLIVAR",
            "state": "MO",
            "postal_code": "656133011",
            "telephone_number": "417-328-6258",
            "fax_number": "417-328-6242"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "315 S ASH ST",
            "city": "BUFFALO",
            "state": "MO",
            "postal_code": "656228705",
            "telephone_number": "417-345-2321",
            "fax_number": "417-345-8837"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CITIZENS MEMORIAL HOSPITAL DISTRICT",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-08-06",
        "last_updated": "2025-01-31",
        "certification_date": "2025-01-31",
        "status": "A",
        "authorized_official_last_name": "MEYER",
        "authorized_official_first_name": "RENEE",
        "authorized_official_middle_name": "MARIE",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "417-328-6258"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2141673",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "600008780",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "CMH Buffalo Community Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Scott M Burks, O,D,
• Kathy J Chandler, COTA/L
• Citizens Memorial Health Care Foundation (Citizens Memorial HME-Buffalo)
• Citizens Memorial Health Care Foundation (Colonial Springs Healthcare Center)
• Citizens Memorial Healthcare (Dallas County Family Medical Center)
• Nina Jane Coffey
• Community Clinic of Buffalo LLC
• Dallas Co R 1 School District
• Dallas County Health Department
• Deaconess Long Term Care of Ohio, Inc. (Dallas County Care Center)

• Community/Retail Pharmacy in Buffalo, MO
• Providers in Buffalo, MO by specialty
• Community/Retail Pharmacy in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 31, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.