# CITIZENS MEMORIAL HEALTHCARE

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** CITIZENS MEMORIAL HOSPITAL DISTRICT
- **Other names:** Hermitage Family Medical Center
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1043424708
- **Legal business name:** CITIZENS MEMORIAL HOSPITAL DISTRICT
- **Authorized official:** DONALD J BABB (CEO)
- **Authorized official phone:** (417) 326-6000

## Contact information

- **Practice address:** HWY 254 & DALLAS, HERMITAGE, MO 65668-0125
- **Practice address phone:** (417) 745-2121
- **Mailing address:** PO BOX 125, HERMITAGE, MO 65668-0125
- **Mailing address phone:** (417) 745-2121

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QP2300X | Primary Care Clinic/Center | — | NULL | — |
| 261QR1300X | Rural Health Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 05/10/2007
- **Last updated:** 09/24/2015