Organization
CITIZENS MEMORIAL HOSPITAL DISTRICT
Active
Parent organization
CITIZENS MEMORIAL HOSPITAL DISTRICT
Other names
CMH Hospital-Based Physicians
Organization subpart
Yes
Provider details
NPI number
Legal business name
CITIZENS MEMORIAL HOSPITAL DISTRICT
Authorized official
RENEE MARIE MEYER (CFO)
(417) 328-6258
Entity
Organization
Contact information
Practice address
1500 N OAKLAND AVE, BOLIVAR, MO 65613-3011
(417) 326-6000
Mailing address
1500 N OAKLAND AVE, BOLIVAR, MO 65613-3011
(417) 326-6000
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
—
—
207P00000X
Emergency Medicine Physician
Primary
—
—
2085R0202X
Diagnostic Radiology Physician
—
—
363L00000X
Nurse Practitioner
—
—
367500000X
Certified Registered Nurse Anesthetist
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
541752507
—
MO
Enumeration date
01/29/2008
Last updated
10/15/2025
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