Citizens Memorial Hospital District

Primary specialty

End-Stage Renal Disease (ESRD) Treatment Clinic/CenterTaxonomy code 261QE0700X

Legal business name

CITIZENS MEMORIAL HOSPITAL DISTRICT

Doing business as

CMH Dialysis Center

Practice address

1160 W Parkview St
Bolivar, MO 65613

Phone

(417) 328-4300

NPI assigned

Jul 24, 2025

Last updated

Oct 15, 2025By the provider in NPPES

Organization subpart

Yes

Parent organization

CITIZENS MEMORIAL HOSPITAL DISTRICTAs reported in NPPES

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 1

Addresses

Other names 1

• CMH Dialysis Center Doing business as

Medicare fee-for-service enrollment

Enrolled in MO

Enrollment records 1

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

  dba CMH Buffalo Community Pharmacy

  • Community/Retail Pharmacy
  • Buffalo, MO
  • NPI 1427480995

  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

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

  2769574433

  Same PAC ID

Listed as

CMH Dialysis CenterCCN 262342

Ownership

Non-profit

Certified

Jan 16, 2026

Medicare certification status

ActiveFrom the Provider of Services file

Dialysis stations

16

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

CLIA laboratory certificates

Part of

Citizens Memorial Hosp Dist

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

• Citizens Memorial Hospital District

  • Psychiatric Hospital Unit
  • Bolivar, MO
  • NPI 1003945213

  Member Of

  NPD member

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

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

{
    "created_epoch": "1753315200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1760486400000",
    "number": "1821970385",
    "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": "417-328-6709"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1160 W PARKVIEW ST",
            "city": "BOLIVAR",
            "state": "MO",
            "postal_code": "65613",
            "telephone_number": "417-328-4300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CITIZENS MEMORIAL HOSPITAL DISTRICT",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "CITIZENS MEMORIAL HOSPITAL DISTRICT",
        "enumeration_date": "2025-07-24",
        "last_updated": "2025-10-15",
        "certification_date": "2025-10-15",
        "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": "261QE0700X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, End-Stage Renal Disease (ESRD) Treatment",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "CMH Dialysis Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Citizens Memorial Hospital District (CMH Specialty Pharmacy)
• Citizens Memorial Hospital District
• Citizens Memorial Hospital District (CMH Mobile Diagnostics)
• Citizens Memorial Hospital District (CMH Senior Pharmacy)
• Citizens Memorial Hospital District (Stephens Pharmacy at CMH)
• Citizens Memorial Hospital District
• Citizens Memorial Hospital District (CMH Portable Mobile Xray)
• Rachel Lynn Clark, CPHT
• Ryan Mathew Clark, CRNA
• CMH Foot and Ankle Clinic

• End-Stage Renal Disease (ESRD) Treatment Clinic/Center in Bolivar, MO
• Providers in Bolivar, MO by specialty
• End-Stage Renal Disease (ESRD) Treatment Clinic/Center in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 15, 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.