CITIZENS MEMORIAL HEALTHCARE (NPI# 1043424708) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1043424708 |
| Entity Type | Organization |
| Organization Name | CITIZENS MEMORIAL HEALTHCARE |
| Other Organization Name | HERMITAGE FAMILY MEDICAL CENTER |
| Practice Address |
Hwy 254 & Dallas Hermitage MO 65668-0125 |
| Mailing Address |
Po Box 125 Hermitage MO 65668-0125 |
| Practice Telephone | 4177452121 |
| Mailing Telephone | 4177452121 |
| Enumeration Date | 2007-05-10 |
| Last Update Date | 2015-09-24 |
| Authorized Official Name | DONALD J BABB (CEO) |
| Authorized Official Telephone | 4173266000 |
| Is Organization Subpart | Y |
| Parent Organization Name | CITIZENS MEMORIAL HOSPITAL DISTRICT |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 261QP2300X |
Clinic/Center Specialization: Primary Care |
Ambulatory Health Care Facilities | ||
| Y | 261QR1300X |
Clinic/Center Specialization: Rural Health |
Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| Hermitage Family Medical Center | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851834659 | Citizens Memorial Healthcare | Clinic/Center | 322 E Hospital Road, El Dorado Springs, MO 64744-2022 | 2016-11-28 |
| 1447464227 | Citizens Memorial Healthcare | Clinic/Center | 1521 3rd Rd, Stockton, MO 65785-9608 | 2007-05-10 |
| 1609080571 | Citizens Memorial Healthcare | Clinic/Center | 201 S Ash St, Buffalo, MO 65622-8674 | 2007-05-10 |
| 1699989350 | Citizens Memorial Healthcare | Clinic/Center | 105 N. Grand St., Suite 2, Greenfield, MO 65661-0367 | 2007-05-10 |
| 1578961454 | Citizens Memorial Healthcare | Clinic/Center | 855 Arduser Dr, Osceola, MO 64776-6278 | 2014-12-09 |
| 1407141153 | Citizens Memorial Healthcare | Clinic/Center | 1120 S Springfield Ave, Bolivar, MO 65613-2512 | 2011-06-10 |
| 1649504309 | Citizens Memorial Healthcare | Clinic/Center | 2230 S Springfield Ave, Suite H-j, Bolivar, MO 65613-9133 | 2009-09-29 |
| 1508070269 | Citizens Memorial Healthcare | Clinic/Center | 201 S Arthur St, Humansville, MO 65674-8400 | 2007-05-10 |
| 1942414610 | Citizens Memorial Healthcare | Clinic/Center | 1195 N Oakland Ave, Suite 2, Bolivar, MO 65613-8095 | 2007-05-10 |
| 1831303502 | Citizens Memorial Healthcare | Clinic/Center | 1300 N Oakland Ave, Bolivar, MO 65613-3018 | 2007-05-10 |
| Street Address |
HWY 254 & DALLAS |
| City | HERMITAGE |
| State | MO |
| Zip Code | 65668-0125 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235536301 | N & R of Hermitage LLC | Skilled Nursing Facility | Hwy 54 and 1st St., Hermitage, MO 65668 | 2014-12-04 |
| 1184056087 | Annette Diane Mozier | Nurse Practitioner | 102 Jackson, Hermitage, MO 65668 | 2013-08-01 |
| 1720160153 | Christian Health Care of Hermitage, Inc. | Skilled Nursing Facility | Hwy 54 and 1st St, Hermitage, MO 65668 | 2006-10-19 |
| 1851402010 | Gordon Reed Wouters | Family Medicine | Hwy 254 & Dallas St., Hermitage, MO 65668 | 2006-08-31 |
| 1942319728 | Katherine M. Rains | Nurse Practitioner | 18614 Jackson St, Hermitage, MO 65668 | 2006-08-29 |
| 1801352752 | Patricia A Drennon | Nurse Practitioner | 18614 Jackson Street, Hermitage, MO 65668 | 2019-02-15 |
| 1750416251 | Hickory County Health Department | Public Health or Welfare | 201 Cedar St, Hermitage, MO 65668 | 2007-02-23 |
| 1558430405 | James C Fusco | Dentist | 303 Spring St, Hermitage, MO 65668 | 2006-11-07 |
| 1275707135 | James C. Fusco, D.d.s., P.C. | Dentist | 303 Spring St, Hermitage, MO 65668-0105 | 2008-04-22 |
| 1326453408 | Ozarks Resource Group | Clinic/Center | 18753 Spring Street, Hermitage, MO 65668-0125 | 2014-06-26 |
| Find all providers in zip 65668 | ||||
| Taxonomy Code | 261QR1300X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Rural Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871102137 | Washington County Memorial Hospital | Clinic/Center | 14206 Hwy C, Belgrade, MO 63622 | 2020-07-23 |
| 1891325072 | Scotland County Memorial Hospital | Clinic/Center | 55682 State Highway 6 Ste A, Edina, MO 63537-4268 | 2020-01-16 |
| 1639736457 | Southeast Health Center of Stoddard County LLC | Clinic/Center | 800 Us Highway 61, New Madrid, MO 63869-1106 | 2019-05-28 |
| 1134633456 | Pike County Memorial Hospital | Clinic/Center | 1420 S Business 61 Unit Fde, Bowling Green, MO 63334-5230 | 2017-11-22 |
| 1720505894 | Perry County Health System | Clinic/Center | 210 Hospital Ln Ste 202, Perryville, MO 63775-4200 | 2017-08-29 |
| 1427572007 | Missouri Delta Medical Center | Clinic/Center | 209 W Yoakum Ave, Chaffee, MO 63740-1138 | 2017-07-26 |
| 1790213676 | Jackson Primary Care LLC | Clinic/Center | 2685 E Main St Ste A, Jackson, MO 63755-2474 | 2017-05-23 |
| 1972050581 | Sgoh Acquisition, Inc. | Clinic/Center | 912b State Highway 59, Goodman, MO 64843-8252 | 2016-09-01 |
| 1144605312 | Nevada City Hospital | Clinic/Center | 627 S Ash St Ste B, Nevada, MO 64772 | 2015-07-29 |
| 1669856829 | Ssm Regional Health Services | Clinic/Center | 2511 W Edgewood Dr Ste F, Jefferson City, MO 65109-5869 | 2015-07-16 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.