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Citizens Memorial Health Care Foundation

Organization Active NPI Durable Medical Equipment & Medical Supplies · Bolivar, MO

NPI 1861767568 · NPPES record last updated Mar 24, 2015

Key facts

NPI
1861767568
Entity type
Organization (NPI type 2)
Primary specialty
Durable Medical Equipment & Medical Supplies 332B00000X
License
13241672 (MO)
Legal business name
CITIZENS MEMORIAL HEALTH CARE FOUNDATION
Practice address
1100 S Springfield Ave
Bolivar, MO 65613-2512
Phone
(417) 326-2424
Fax
(417) 326-3591
NPI assigned
Mar 13, 2012
Organization subpart
No

Authorized official

Name
Renee Marie Meyer
Title
Director of Finance
Phone
(417) 328-6258

National Provider Directory

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X 13241672 MO Yes

Addresses

Primary practice location

1100 S Springfield Ave
Bolivar, MO 65613-2512

Mailing address

1500 N Oakland Ave
Bolivar, MO 65613-3011
Phone (417) 326-6000

Other identifiers

IdentifierTypeStateIssuer
621752500MedicaidMO

Other providers in Bolivar, MO

All providers in Bolivar, MO · Durable Medical Equipment & Medical Supplies in Missouri

Sources for this page

Verify at the official NPI Registry.