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NPI Code Detail

MEDICARE: CITIZENS MEMORIAL HEALTH CARE FOUNDATION

MEDICARE: CITIZENS MEMORIAL HEALTH CARE FOUNDATION
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1314000000XSkilled Nursing Facility029574MO

General Provider Information

NPI Number : 1346229481
Entity Type Code : Organization
Provider Name (Legal Business Name) : CITIZENS MEMORIAL HEALTH CARE FOUNDATION
Provider Business Mailing Address
First Line : 1500 N OAKLAND AVE
Second Line :
City : BOLIVAR
State : MO
Zip : 65613-3011
Country : US
Telephone Number : 417-326-6000
Fax Number : 417-328-6242
Provider Business Practice Location Address
First Line : 750 W COOPER ST
Second Line :
City : BUFFALO
State : MO
Zip : 65622-8662
Country : US
Telephone Number : 417-345-2228
Fax Number : 417-345-8674
Authorized Official
Title or Position : DIRECTOR OF FINANCE
Name : MRS. RENEE MARIE MEYER
Credential :
Telephone Number : 417-328-6258
Provider Enumeration Date : 01/16/2006
Last Update Date : 08/22/2020

Similar Medicare Providers

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1407042864 — TISHA PINON
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1396931754 — TERESA LARIMER
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1588658900 — DEACONESS LONG TERM CARE OF OHIO, INC.
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1063496560 — SANDY S. ELLIS MSW, LCSW
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Directions to “CITIZENS MEMORIAL HEALTH CARE FOUNDATION ” Practice Location

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These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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