Cameron Regional Medical Center Inc
Organization Active NPI General Acute Care Hospital · Cameron, MO
NPI 1811905375 · NPPES record last updated Apr 25, 2012
Key facts
- NPI
- 1811905375
- Entity type
- Organization (NPI type 2)
- Primary specialty
- General Acute Care Hospital 282N00000X
- License
- 4733 (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
- Organization subpart
- No
Authorized official
- Name
- Joseph Abrutz
- Title
- Ceo
- Phone
- (816) 632-2101
Owners & managing parties with NPI records 16
Owned or controlled facilities with NPI records 16
Other NPIs on the same Medicare enrollment 8
Other NPIs with the same Medicare PAC ID 16
Related certifications (CCN) 13
Facilities with the same owner 14
Practitioners 117
-
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
-
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.
-
Darci Kloepping, NP-C
Affiliated clinicians 153
-
Sajjad Ahmad, M.D.
-
Dennis Jorge Albino, M.D.
-
Drew S Allen, DO
-
Muhammad Mudassar Amin, M.D.
-
Neal Blakely Anson, M.D.
-
David Ash, M.D.
-
Muzammil Aziz, MD
-
Harathi Bandaru, MD, MS, FACG, FACP
-
Joshuah C Barnes, APRN
-
Gregory L. Barnhill, D.O.
-
John D Barth, DO
-
Jacob M Barton, NP
-
Jane Anne Bell, M.D.
-
Thomas F Bembynista, DPM
-
Bhaskar Bhardwaj, M.D.
-
Neil Bhargava, MD
-
Andrew David Boerkircher, D.O.
-
Cristi Campbell, FNP
-
Richard D Campbell, ANP
Medicare Care Compare: Hospital
- Listed as
- Cameron Regional Medical Center
- Overall star rating
- ★☆☆☆☆ 1 of 5
- Type
- Acute Care Hospitals
- Ownership
- Voluntary non-profit - Private
- Emergency services
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (2 enrollments) in MO
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
- Corporation · Non-profit
- Incorporated
- Jun 28, 1963 in MO
- Enrollment address
- 1600 E Evergreen St
Cameron, MO 64429-2400 - Hospital subgroups
- Acute care
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 |
Jan 1, 2009 | |
| Cameron Regional Medical Center Inc |
5% Or Greater Direct Ownership Interest | Jul 1, 1966 | 100% |
| Warren McElwain |
Corporate Director |
Jan 30, 2008 | |
| Jennifer White |
Corporate Director |
Jan 30, 2008 | |
| Joseph F Abrutz |
Corporate Director |
Dec 1, 2014 | |
| W-2 Managing Employee |
Apr 1, 1991 | ||
| Operational/Managerial Control |
Dec 1, 2014 | ||
| Mike Poland |
Corporate Director |
Jan 30, 2008 |
All facility ownership & control disclosures 14
| Facility | Type | Role | Since |
|---|---|---|---|
| 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 |
| Hamilton Family Health Center |
Rural health clinic | 5% Or Greater Direct Ownership Interest (100%) | Jul 20, 1993 |
| 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 |
|---|---|---|---|---|
| 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 |
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Acute Care Hospital | 282N00000X | 4733 | MO | Yes |
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 identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 540636107 | Medicaid | MO | |
| 010636108 | Medicaid | MO |
Other names
- Cameron Community Hospital
Other providers in Cameron, MO
- Cameron Regional Medical Center Inc
- Cameron Regional Medical Center Inc
- Cameron Regional Medical Center Inc
- Cameron Regional Medical Center Inc
- Cameron Regional Medical Center Inc
- Cameron Regional Medical Center Inc
- Cameron Regional Medical Center, Inc
- Cameron Regional Medical Center, Inc.
- Cameron Regional Medical Center, Inc.
- Cameron Regional Medical Center, Inc.
All providers in Cameron, MO · General Acute Care Hospital in Missouri
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 25, 2012. 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.