Cameron Regional Medical Center Inc
Organization Active NPI End-Stage Renal Disease (ESRD) Treatment Clinic/Center · Cameron, MO
NPI 1982931820 · NPPES record last updated Aug 25, 2022
Key facts
- NPI
- 1982931820
- Entity type
- Organization (NPI type 2)
- Primary specialty
- End-Stage Renal Disease (ESRD) Treatment Clinic/Center 261QE0700X
- Legal business name
- CAMERON REGIONAL MEDICAL CENTER INC
- 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
- Organization subpart
- No
Authorized official
- Name
- Mr. Joseph F Abrutz Jr.
- Title
- Administrator
- Phone
- (816) 632-2101
Owned or controlled facilities with NPI records 17
Other NPIs on the same Medicare enrollment 5
Other NPIs with the same Medicare PAC ID 16
Corporate family (same tax ID) 23
Practitioners 66
-
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
-
Thomas F Bembynista, DPM
-
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.
Affiliated clinicians 1
-
Shahzad Shafique, M.D.
Medicare Care Compare: Dialysis facility
- Listed as
- Cameron Regional Medical Center Renal Dialysis Center
- Overall star rating
- ★★★☆☆ 3.0 of 5
- Ownership
- Non-profit
- Certified
- Apr 9, 2010
- Medicare certification status
- Active
- Dialysis stations
- 10
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (2 enrollments) in MO
All facility ownership & control disclosures 15
| Facility | Type | Role | Since |
|---|---|---|---|
| Cameron Regional Medical Center, Inc |
Hospital | 5% Or Greater Direct Ownership Interest (100%) | Jul 1, 1966 |
| 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 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 |
National Provider Directory
- Tax ID family
- Cameron Regional Med CT
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Renal Dialysis Technician |
2472R0900X | 4737 | MO | |
| End-Stage Renal Disease (ESRD) Treatment Clinic/Center | 261QE0700X | Yes |
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
- Renal Dialysis Center
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 · End-Stage Renal Disease (ESRD) Treatment Clinic/Center in Missouri
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 25, 2022. 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.