Organization
CITIZENS MEMORIAL HEALTH CARE FOUNDATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RENEE MARIE MEYER (DIRECTOR OF FINANCE)
(417) 328-6258
Entity
Organization
Contact information
Practice address
1100 S SPRINGFIELD AVE, BOLIVAR, MO 65613-2512
(417) 326-2424
(417) 326-3591
Mailing address
1500 N OAKLAND AVE, BOLIVAR, MO 65613-3011
(417) 326-6000
(417) 326-3591
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
13241672
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
621752500
—
MO
Enumeration date
03/13/2012
Last updated
03/24/2015
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