| Citizens Memorial Hospital District | |
|
1500 N Oakland Ave Bolivar MO 65613-3011 | |
| (417) 326-6000 | |
| Not Available |
| Full Name | Citizens Memorial Hospital District |
|---|---|
| Speciality | Psychiatric Unit |
| Location | 1500 N Oakland Ave, Bolivar, Missouri |
| Authorized Official Name and Position | Donald J Babb (CEO) |
| Authorized Official Contact | 4173286401 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Citizens Memorial Hospital District 1500 N Oakland Ave Bolivar MO 65613-3011 Ph: (417) 326-6000 | Citizens Memorial Hospital District 1500 N Oakland Ave Bolivar MO 65613-3011 Ph: (417) 326-6000 |
| NPI Number | 1003945213 |
|---|---|
| Provider Enumeration Date | 03/05/2007 |
| Last Update Date | 05/14/2008 |
| Medicare PECOS PAC ID | 2769574433 |
|---|---|
| Medicare Enrollment ID | O20080418000400 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1003945213 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 273R00000X | Psychiatric Unit | 313-24 (Missouri) | Primary |
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