NPIMap

Organization Active NPI

Cameron Regional Medical Center Inc

Doing business as Renal Dialysis Center

  • End-Stage Renal Disease (ESRD) Treatment Clinic/Center
  • Cameron, MO
National Provider Identifier
1982931820
Registry record updated Aug 25, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
End-Stage Renal Disease (ESRD) Treatment Clinic/CenterTaxonomy code 261QE0700X
Legal business name
CAMERON REGIONAL MEDICAL CENTER INC
Doing business as
Renal Dialysis Center
Practice address
1600 E Evergreen St
MP III Ste a
Cameron, MO 64429-2400
Phone
(816) 649-3398
Fax
(816) 649-3379
NPI assigned
Nov 13, 2009
Last updated
Aug 25, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 25, 2022

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

Authorized official

Name
Mr. Joseph F Abrutz Jr.
Title
Administrator
Phone
(816) 632-2101

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Renal Dialysis TechnicianGroup: 193400000X SINGLE SPECIALTY GROUP 2472R0900X 4737 MO
End-Stage Renal Disease (ESRD) Treatment Clinic/Center 261QE0700X Primary

Addresses

Primary practice location

1600 E Evergreen St
MP III Ste a
Cameron, MO 64429-2400

Mailing address

1600 E Evergreen St
MP III Ste a
Cameron, MO 64429-2400
Phone (816) 632-2101

Other names 1

  • Renal Dialysis Center Doing business as

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
This NPI is an additional NPI on the enrollment
Practice locations: Bethany, MO; Cameron, MO; King City, MO; Lathrop, MO
O20100112000356 MO Part A Provider - End-Stage Renal Disease Facility (ESRD) 5092622001 Practice locations: Cameron, MO

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 5

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

Care Compare: Dialysis facility

Medicare Care Compare
Listed as
Cameron Regional Medical Center Renal Dialysis CenterCCN 262340
Overall star rating
3.0 of 5
Ownership
Non-profit
Certified
Apr 9, 2010
Medicare certification status
ActiveFrom the Provider of Services file
Dialysis stations
10

Name & address match This facility record has no NPI; it was connected to this NPI by matching name and address.

National Provider Directory

National Provider Directory
Tax ID family
Cameron Regional Medicl24 organizations share this tax ID, including this one

Other organizations with this tax ID 23

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

View all 23

Ownership & related parties

All facility ownership & control disclosures 15

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Cameron Regional Medical Center, IncCameron, MO, CCN 260057 Hospital 5% Or Greater Direct Ownership Interest (100%) Jul 1, 1966
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 17

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

View all 17

Practitioners & affiliated clinicians

Affiliated clinicians 1

Clinicians who list this facility as an affiliation in Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1258070400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1661385600000",
    "number": "1982931820",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1600 E EVERGREEN ST",
            "address_2": "MP III STE A",
            "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",
            "address_2": "MP III STE A",
            "city": "CAMERON",
            "state": "MO",
            "postal_code": "644292400",
            "telephone_number": "816-649-3398",
            "fax_number": "816-649-3379"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CAMERON REGIONAL MEDICAL CENTER INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-11-13",
        "last_updated": "2022-08-25",
        "certification_date": "2022-08-25",
        "status": "A",
        "authorized_official_last_name": "ABRUTZ",
        "authorized_official_first_name": "JOSEPH",
        "authorized_official_middle_name": "F",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "816-632-2101",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "Jr."
    },
    "taxonomies": [
        {
            "code": "2472R0900X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Technician, Other, Renal Dialysis",
            "state": "MO",
            "license": "4737",
            "primary": false
        },
        {
            "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": "Renal Dialysis Center",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Renal Dialysis Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Cameron, MO

Sources for this page

Verify at the official NPI Registry.