Cameron Regional Medical Center
Organization Active NPI Clinic/Center · Cameron, MO
NPI 1497376990 · NPPES record last updated May 6, 2020
Key facts
- NPI
- 1497376990
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Clinic/Center 261Q00000X
- Legal business name
- CAMERON REGIONAL MEDICAL CENTER
- Practice address
- 221 E 7TH St
Cameron, MO 64429-1722 - Phone
- (816) 632-6100
- Fax
- (816) 632-6123
- NPI assigned
- May 6, 2020
- Organization subpart
- No
Authorized official
- Name
- Mr. Joseph F Abrutz Jr., ADMINISTRATOR
- Title
- Ceo
- Phone
- (816) 632-2101
Other NPIs on the same Medicare enrollment 5
Corporate family (same tax ID) 23
Practitioners 1
-
Renee C Rouse, PA-C
Laboratory certificates & supplier records
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 26D2186388 | NW Missouri Obstetrics & Gynecology | Certificate of waiver | Jun 15, 2028 |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MO
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20040113000619 | MO | Part B Supplier - Clinic/Group Practice | 5092622001 |
Receives reassigned benefits from 116 practitioners 5 other NPIs on this enrollment This NPI is an additional NPI on the enrollment Practice locations: Bethany, MO; Cameron, MO; King City, MO; Lathrop, MO |
National Provider Directory
- Tax ID family
- Cameron Regional Med CT
Interoperability endpoints
- https://fhir-usa.unify.chbase.com/org/cameron-3ccdc40c
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinic/Center | 261Q00000X | Yes |
Addresses
Primary practice location
221 E 7TH St
Cameron, MO 64429-1722
Mailing address
1600 E Evergreen St
Cameron, MO 64429-2400
Phone (816) 632-2101
Other names
- NW Missouri Obstetrics & Gynecology
Other providers in Cameron, MO
- Cameron Mo Consulting LLC
- Cameron No 1 Inc
- Cameron Nursing and Rehabilitation Center, LLC
- Cameron Pediatrics & Adolescent Services
- Cameron R-I Schools
- Cameron Regional Medical Center
- Cameron Regional Medical Center Inc
- Cameron Regional Medical Center Inc
- Cameron Regional Medical Center Inc
- Cameron Regional Medical Center Inc
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 6, 2020. 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.
- 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.