Organization
CITIZENS MEMORIAL HOSPITAL DISTRICT
Active
Other names
CMH PORTABLE MOBILE XRAY
Organization subpart
No
Provider details
NPI number
Authorized official
DONALD J BABB (CHIEF EXECUTIVE OFFICER)
(417) 328-6501
Entity
Organization
Contact information
Practice address
1500 N OAKLAND AVE, BOLIVAR, MO 65613-3011
(417) 328-7289
(417) 328-6237
Mailing address
1500 N OAKLAND AVE, BOLIVAR, MO 65613-3011
(417) 328-7289
(417) 328-6237
Taxonomy
Speciality
Code
Description
License number
State
335V00000X
Portable X-ray and/or Other Portable Diagnostic Imaging Supplier
Primary
313-30
MO
Other
Enumeration date
05/15/2013
Last updated
05/15/2013
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