NPIMap

Organization Active NPI

CMH Foot and Ankle Clinic

  • Podiatrist
  • Bolivar, MO
National Provider Identifier
1922212919
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
Legal business name
CMH FOOT AND ANKLE CLINIC
Practice address
1630 Killingsworth Ave
Suite 2a
Bolivar, MO 65613-2282
Phone
(417) 326-6200
NPI assigned
May 9, 2007
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Shirley Westmark
Title
Administrative Secretary
Phone
(417) 328-6545

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Podiatrist 213E00000X NU Primary

Addresses

Primary practice location

1630 Killingsworth Ave
Suite 2a
Bolivar, MO 65613-2282

Mailing address

1630 Killingsworth Ave
Suite 2a
Bolivar, MO 65613-2282
Phone (417) 326-6200

Other names 1

  • Citizens Memorial Healthcare Clinics Other name

National Provider Directory

National Provider Directory
Tax ID family
Citizens Memorial Healthcare19 organizations share this tax ID, including this one

Other organizations with this tax ID 18

Organizations that report the same tax identification number in the National Provider Directory.

View all 18

Locations

1630 Killingsworth Ave
Ste 2A
Bolivar, MO 65613
Phone (417) 326-6200

Practitioners & affiliated clinicians

Practitioners 1

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": "1178668800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1922212919",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1630 KILLINGSWORTH AVE",
            "address_2": "SUITE 2A",
            "city": "BOLIVAR",
            "state": "MO",
            "postal_code": "656132282",
            "telephone_number": "417-326-6200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1630 KILLINGSWORTH AVE",
            "address_2": "SUITE 2A",
            "city": "BOLIVAR",
            "state": "MO",
            "postal_code": "656132282",
            "telephone_number": "417-326-6200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CMH FOOT AND ANKLE CLINIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-09",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "WESTMARK",
        "authorized_official_first_name": "SHIRLEY",
        "authorized_official_title_or_position": "ADMINISTRATIVE SECRETARY",
        "authorized_official_telephone_number": "417-328-6545"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Citizens Memorial Healthcare Clinics",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Bolivar, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.