Healthcare Provider Details

I. General information

NPI: 1235143520
Provider Name (Legal Business Name): CAMERON REGIONAL MEDICAL CENTER INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/29/2006
Last Update Date: 07/21/2009
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

502 S MAIN ST
GALLATIN MO
64640-1435
US

IV. Provider business mailing address

1600 E EVERGREEN ST PO BOX 557
CAMERON MO
64429-2400
US

V. Phone/Fax

Practice location:
  • Phone: 660-663-3751
  • Fax: 660-663-3291
Mailing address:
  • Phone: 816-649-3242
  • Fax: 816-649-3383

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261Q00000X
TaxonomyClinic/Center
License Number
License Number State

VIII. Authorized Official

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