NPIMap

Organization Active NPI

Cameron Regional Medical Center Inc

  • General Acute Care Hospital
  • Cameron, MO
National Provider Identifier
1811905375
Registry record updated Apr 25, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Acute Care HospitalTaxonomy code 282N00000X
License
4733 Issued in MO
Legal business name
CAMERON REGIONAL MEDICAL CENTER INC
Practice address
1600 E Evergreen St
Cameron, MO 64429-2400
Phone
(816) 632-2101
Fax
(816) 649-3383
NPI assigned
Aug 3, 2006
Last updated
Apr 25, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 25, 2012

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

Authorized official

Name
Joseph Abrutz
Title
Ceo
Phone
(816) 632-2101

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Acute Care Hospital 282N00000X 4733 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

Other names 1

  • Cameron Community Hospital Former legal business name

Medicare participation

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

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20040113000619 MO Part B Supplier - Clinic/Group Practice 5092622001 Receives reassigned benefits from 116 practitioners
5 other NPIs on this enrollment
Practice locations: Bethany, MO; Cameron, MO; King City, MO; Lathrop, MO
O20080130000409 MO Part A Provider - Hospital 5092622001 3 other NPIs on this enrollment
Practice locations: Cameron, MO; Lathrop, MO; Lawson, MO; Bethany, MO

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1811905375. 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

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

View all 13

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 8

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

National Provider Directory

National Provider Directory

Locations

106 North St
Lathrop, MO 64465
Phone (816) 740-3282

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 Non-profit 5% Or Greater Direct Ownership Interest Jul 1, 1966 100%
Warren McElwain Individual Corporate DirectorBoard Member Jan 30, 2008
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
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
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
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

Practitioners 117

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.

View all 117

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": "1154563200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1335312000000",
    "number": "1811905375",
    "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": "816-632-2101",
            "fax_number": "816-649-3383"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CAMERON REGIONAL MEDICAL CENTER INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-03",
        "last_updated": "2012-04-25",
        "status": "A",
        "authorized_official_last_name": "ABRUTZ",
        "authorized_official_first_name": "JOSEPH",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "816-632-2101"
    },
    "taxonomies": [
        {
            "code": "282N00000X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital",
            "state": "MO",
            "license": "4733",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Cameron Community Hospital",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Cameron, MO

Sources for this page

Verify at the official NPI Registry.