CITIZENS MEMORIAL HEALTHCARE (NPI# 1740494541) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1740494541 |
| Entity Type | Organization |
| Organization Name | CITIZENS MEMORIAL HEALTHCARE |
| Other Organization Name | PLEASANT HOPE FAMILY MEDICAL CENTER |
| Practice Address |
209 S Main St Pleasant Hope MO 65725-8121 |
| Practice Telephone | 4172672001 |
| Practice Fax Number | 4172672004 |
| Mailing Telephone | 4172672001 |
| Mailing Fax Number | 4172672004 |
| Enumeration Date | 2007-05-10 |
| Last Update Date | 2015-03-31 |
| 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 |
|---|---|
| Pleasant Hope 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 |
| 1043424708 | Citizens Memorial Healthcare | Clinic/Center | Hwy 254 & Dallas, Hermitage, MO 65668-0125 | 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 |
| Street Address |
209 S MAIN ST |
| City | PLEASANT HOPE |
| State | MO |
| Zip Code | 65725-8121 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295074615 | Tisha Kathleen Joplin | Nurse Practitioner | 209 S Main St, Pleasant Hope, MO 65725-8121 | 2013-02-05 |
| 1275720443 | Kevin Michael Presley | Family Medicine | 209 S Main St, Pleasant Hope, MO 65725-8121 | 2007-10-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508010422 | Pleasant Hope School Dist R6 | Physical Therapist | 303 N Main St, Pleasant Hope, MO 65725-8108 | 2008-11-05 |
| 1316191232 | Jeanne E Hermann | Speech-Language Pathologist | 303 N Main St, Pleasant Hope, MO 65725-8108 | 2008-11-05 |
| 1083155626 | Pharmacy I LLC | Pharmacy | 5492 Highway H Unit E, Pleasant Hope, MO 65725-8227 | 2017-03-15 |
| 1194020958 | Betty Kay Ennis | Counselor | 8589 N Farm Road 157, Pleasant Hope, MO 65725-9143 | 2011-01-25 |
| 1356648299 | Terri Lee Altic | Physical Therapy Assistant | 1931 E 540th Rd, Pleasant Hope, MO 65725-9184 | 2011-02-11 |
| 1396346870 | Lyea Dorae Shine | Registered Nurse | 502 Mccurry St, Pleasant Hope, MO 65725-9231 | 2020-11-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396346870 | Lyea Dorae Shine | Registered Nurse | 502 Mccurry St, Pleasant Hope, MO 65725-9231 | 2020-11-03 |
| 1083155626 | Pharmacy I LLC | Pharmacy | 5492 Highway H Unit E, Pleasant Hope, MO 65725-8227 | 2017-03-15 |
| 1356648299 | Terri Lee Altic | Physical Therapy Assistant | 1931 E 540th Rd, Pleasant Hope, MO 65725-9184 | 2011-02-11 |
| 1194020958 | Betty Kay Ennis | Counselor | 8589 N Farm Road 157, Pleasant Hope, MO 65725-9143 | 2011-01-25 |
| 1508010422 | Pleasant Hope School Dist R6 | Physical Therapist | 303 N Main St, Pleasant Hope, MO 65725-8108 | 2008-11-05 |
| 1316191232 | Jeanne E Hermann | Speech-Language Pathologist | 303 N Main St, Pleasant Hope, MO 65725-8108 | 2008-11-05 |
| 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 | ||||
| City | PLEASANT HOPE |
| Zip Code | 65725 |
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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.