Healthcare Provider Details

I. General information

NPI: 1417971565
Provider Name (Legal Business Name): CAMERON REGIONAL MEDICAL CENTER INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/26/2006
Last Update Date: 11/30/2023
Certification Date: 11/30/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

214 MCELWAIN DR STE B
CAMERON MO
64429-1350
US

IV. Provider business mailing address

1005 W 3RD ST SUITE 3
CAMERON MO
64429-1415
US

V. Phone/Fax

Practice location:
  • Phone: 816-632-5124
  • Fax: 816-632-6121
Mailing address:
  • Phone: 816-632-5124
  • Fax: 816-632-6121

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number1321
License Number StateMO

VIII. Authorized Official

Name: MR. JOSEPH F ABRUTZ JR.
Title or Position: CEO
Credential:
Phone: 816-632-2101