NPIMap

Organization Active NPI

Cameron Regional Medical Center Inc

Doing business as Jamesport Outreach Clinic

  • Rural Health Clinic/Center
  • Jamesport, MO
National Provider Identifier
1740294040
Registry record updated Apr 30, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rural Health Clinic/CenterTaxonomy code 261QR1300X
Legal business name
CAMERON REGIONAL MEDICAL CENTER INC
Doing business as
Jamesport Outreach Clinic
Practice address
409 W Auberry GRV
Jamesport, MO 64648-7189
Phone
(660) 684-6252
Fax
(660) 684-6254
NPI assigned
Jul 29, 2006
Last updated
Apr 30, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 30, 2014

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

Authorized official

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Rural Health Clinic/Center 261QR1300X NU Primary

Addresses

Primary practice location

409 W Auberry GRV
Jamesport, MO 64648-7189

Mailing address

1600 E Evergreen St
PO Box 557
Cameron, MO 64429-2400
Phone (816) 649-3348

Other names 1

  • Jamesport Outreach Clinic Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20080130000236 MO Part A Provider - Rural Health Clinic 5092622001 Practice locations: Jamesport, MO

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1740294040. Details of each certification follow.

Rural health clinic certification: CCN 263988

Legal name
CAMERON REGIONAL MEDICAL CENTER INC
Doing business as
JAMESPORT OUTREACH CLINIC
Certification status
Active
Provider type (POS)
Rural health clinic
Participating since
Jul 22, 1992
Last certification
Sep 18, 2024
Ownership / control type
2B
Organization structure
CorporationNon-profit
Incorporated
Jun 28, 1963 in MO
Enrollment address
409 W Auberry GRV
Jamesport, MO 64648-7189
Related CCNs
260057

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

Laboratory certificates & supplier records

Derived by NPIMap

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

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
26D0680481Jamesport Outreach Clinic409 West Auberry Grove, Jamesport, MO 64648Provider-performed microscopyAug 31, 2026

National Provider Directory

National Provider Directory
Tax ID family
Pattonsburg Professional24 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

Locations

409 W Auberry Grv
Jamesport, MO 64648
Phone (660) 684-6252

Ownership & related parties

All disclosed owners & managing parties 9

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
David Just Individual Corporate DirectorBoard Member Jan 30, 2008
Steve Tinnen Individual Corporate DirectorBoard Member Jan 30, 2008
Barbara Ballew Individual Corporate DirectorBoard Member Jan 1, 2009
Cameron Regional Medical Center Inc Organization, Cameron, MO Corporation 5% Or Greater Direct Ownership Interest Jul 22, 1992 100%
Operational/Managerial Control Jul 22, 1992 100%
Warren McElwain Individual Corporate DirectorBoard Member Jan 30, 2008
Jennifer White Individual Corporate DirectorBoard Member Jan 30, 2008
Joseph F Abrutz Individual 5% Or Greater Indirect Ownership Interest May 8, 2014 5%
Corporate Director May 8, 2014 5%
W-2 Managing Employee Apr 1, 1991
Mike Poland Individual Corporate DirectorBoard Member Jan 30, 2008

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 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
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

Practitioners 9

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.

NPI Registry JSON

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

{
    "created_epoch": "1154131200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1398816000000",
    "number": "1740294040",
    "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": "816-649-3348",
            "fax_number": "816-649-3383"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "409 W AUBERRY GRV",
            "city": "JAMESPORT",
            "state": "MO",
            "postal_code": "646487189",
            "telephone_number": "660-684-6252",
            "fax_number": "660-684-6254"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CAMERON REGIONAL MEDICAL CENTER INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-29",
        "last_updated": "2014-04-30",
        "status": "A",
        "authorized_official_last_name": "ABRUTZ",
        "authorized_official_first_name": "JOSEPH",
        "authorized_official_middle_name": "F",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "816-632-2101",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "Jr."
    },
    "taxonomies": [
        {
            "code": "261QR1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rural Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Jamesport Outreach Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Jamesport, MO

Sources for this page

Verify at the official NPI Registry.