Organization
CITIZENS MEMORIAL HEALTHCARE
Active
Parent organization
CITIZENS MEMORIAL HEALTHCARE
Other names
CMH Eye Specialty Center
Organization subpart
Yes
Provider details
NPI number
Legal business name
CITIZENS MEMORIAL HEALTHCARE
Authorized official
DONA GILLISPIE (ADMINISTRATIVE ASSISTANT)
(417) 328-7243
Entity
Organization
Contact information
Practice address
1155 W. PARKVIEW ST., SUITE 1 B, BOLIVAR, MO 65613-7800
(417) 777-2222
(417) 777-2224
Mailing address
1155 W. PARKVIEW ST., SUITE 1 B, BOLIVAR, MO 65613-7800
(417) 777-2222
(417) 777-2224
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
506997907
—
MO
Enumeration date
05/10/2007
Last updated
03/27/2014
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