Organization
BOLIVAR FAMILY CARE CENTER
Active
Parent organization
CITIZENS MEMORIAL HOSPITAL
Organization subpart
Yes
Provider details
NPI number
Legal business name
CITIZENS MEMORIAL HOSPITAL
Authorized official
KYLA MARIE INMAN FNP (NURSE PRACTITIONER)
(417) 326-6021
Entity
Organization
Contact information
Practice address
1240 N BUTTERFIELD RD, BOLIVAR, MO 65613-3016
(417) 326-6021
Mailing address
1500 N OAKLAND AVE, BOLIVAR, MO 65613-3011
(417) 326-6021
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
—
—
Other
Enumeration date
10/13/2016
Last updated
10/13/2016
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