Organization
BHM MEDICAL FACILITIES, LLC
Active
Other names
Camelot Nursing & Rehabilitation Center
Organization subpart
No
Provider details
NPI number
Authorized official
MR. RONALD GENE ROBINSON (ADMINISTRATOR)
(573) 756-8911
Entity
Organization
Contact information
Practice address
705 GRAND CANYON DR, FARMINGTON, MO 63640-2161
(573) 756-8911
Mailing address
705 GRAND CANYON DR, FARMINGTON, MO 63640-2161
(573) 756-8911
(573) 756-0862
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
031109
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
031109
FACILITY LICENSE NUMBER
MO
05
—
101456200
—
MO
01
—
198617
BLUECROSS AND BLUE SHIELD
MO
Enumeration date
07/07/2005
Last updated
02/24/2015
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