# CITIZENS MEMORIAL HOSPITAL DISTRICT

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- **Entity:** Organization
- **Status:** Active
- **Other names:** CMH PORTABLE MOBILE XRAY
- **Organization subpart:** No

## Provider details

- **NPI number:** 1932545043
- **Authorized official:** DONALD J BABB (CHIEF EXECUTIVE OFFICER)
- **Authorized official phone:** (417) 328-6501

## Contact information

- **Practice address:** 1500 N OAKLAND AVE, BOLIVAR, MO 65613-3011
- **Practice address phone:** (417) 328-7289
- **Practice address fax:** (417) 328-6237
- **Mailing address:** 1500 N OAKLAND AVE, BOLIVAR, MO 65613-3011
- **Mailing address phone:** (417) 328-7289
- **Mailing address fax:** (417) 328-6237

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 335V00000X | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier | 313-30 | MO | Yes |

## Other

- **Enumeration date:** 05/15/2013
- **Last updated:** 05/15/2013