Organization
CITIZENS MEMORIAL HOSPITAL DISTRICT
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DONALD J BABB (CEO)
(417) 326-6000
Entity
Organization
Contact information
Practice address
1500 N OAKLAND AVE, BOLIVAR, MO 65613-3011
(417) 326-6000
(417) 328-6242
Mailing address
1500 N OAKLAND AVE, BOLIVAR, MO 65613-3011
(417) 326-6000
(417) 328-6242
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
313-25
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
626364905
—
MO
Enumeration date
05/13/2008
Last updated
10/08/2008
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