CAMERON REGIONAL MEDICAL CENTER INC (NPI# 1033478557) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1033478557 |
Entity Type | Organization |
Organization Name | CAMERON REGIONAL MEDICAL CENTER INC |
Other Organization Name | BETHANY HEALTH SERVICES CLINIC |
Practice Address |
903 N 25th St Bethany MO 64424-1501 |
Mailing Address |
1600 E Evergreen St Cameron MO 64429-2400 |
Practice Telephone | 6604257333 |
Practice Fax Number | 6604257346 |
Mailing Telephone | 8166322101 |
Mailing Fax Number | 8166493383 |
Enumeration Date | 2012-05-04 |
Last Update Date | 2012-12-17 |
Authorized Official Name | MR. JOSEPH F ABRUTZ JR. (ADMINISTRATOR) |
Authorized Official Telephone | 8166493203 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 261QM1300X |
Clinic/Center Specialization: Multi-Specialty |
473-10 | MO | Ambulatory Health Care Facilities |
Other Name | Type Code |
---|---|
Bethany Health Services Clinic | Doing Business As Name - Organization |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1659700813 | Cameron Regional Medical Center Inc | Clinic/Center | 12050 12th St, Eagleville, MO 64442-8158 | 2013-11-07 |
1861406183 | Cameron Regional Medical Center Inc | Clinic/Center | 106 S 4th, Stewartsville, MO 64490 | 2006-07-29 |
1306850698 | Cameron Regional Medical Center Inc | Clinic/Center | 103 N Davis, Hamilton, MO 64644-1143 | 2006-07-29 |
1003821307 | Cameron Regional Medical Center Inc | Clinic/Center | 921 N Walnut St, Cameron, MO 64429-1722 | 2006-07-29 |
1285669432 | Cameron Regional Medical Center Inc | Hospice Care, Community Based | 1005 W 3rd St, Suite 4, Cameron, MO 64429-1415 | 2006-07-12 |
1093188807 | Cameron Regional Medical Center Inc | Clinic/Center | 1007 S Polk St, Maysville, MO 64469-4030 | 2015-11-03 |
1174955033 | Cameron Regional Medical Center Inc | Clinic/Center | 411 N Pennsylvania Ave, Lawson, MO 64062-9402 | 2013-08-02 |
1962845057 | Cameron Regional Medical Center Inc | Clinic/Center | 427 Main St, Gilman City, MO 64642-9714 | 2013-04-09 |
1235481219 | Cameron Regional Medical Center Inc | Clinic/Center | 1600 E Evergreen St, Mp IIi Ste A, Cameron, MO 64429 | 2012-10-15 |
1982931820 | Cameron Regional Medical Center Inc | Technician, Other | 1600 E Evergreen St, Mp IIi Ste A, Cameron, MO 64429-2400 | 2009-11-13 |
Street Address |
903 N 25TH ST |
City | BETHANY |
State | MO |
Zip Code | 64424-1501 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1669730446 | Cameron Regional Medical Center, Inc | Clinic/Center | 903 N 25th St, Bethany, MO 64424-1501 | 2012-04-30 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1376739946 | Cynthia Sue Butler | Social Worker | 4118 Miller St, Bethany, MO 64424 | 2007-09-18 |
1891906848 | Sudarsan Chavala | Ophthalmology | 1303 N 25th, Bethany, MO 64424 | 2007-05-24 |
1972521300 | Gary Ernest Anderson | Chiropractor | 3307 Miller, Bethany, MO 64424 | 2006-07-17 |
1558397661 | N & R of Crestview LLC | Skilled Nursing Facility | 1313 South 25th Street, Bethany, MO 64424 | 2006-06-23 |
1639147507 | Jayne E. Doolittle | Nurse Practitioner | 2703 Miller St., Bethany, MO 64424 | 2006-03-08 |
1205436946 | Douglas Faulkner | Pharmacist | 810 S 37th St, Bethany, MO 64424 | 2020-10-30 |
1184088593 | Patricia Slaughter | Social Worker | 2600 Miller St, Bethany, MO 64424 | 2016-04-12 |
1912235706 | Bethany Counseling Center LLC | Social Worker | 4118 Miller St, Bethany, MO 64424 | 2009-12-07 |
1568430437 | Gregory A Dean | Family Medicine | 2703 Miller St, Bethany, MO 64424 | 2006-03-08 |
1508834409 | Terry E. Hall | General Practice | 2703 Miller St., Bethany, MO 64424-0233 | 2006-03-08 |
Find all providers in zip 64424 |
Taxonomy Code | 261QM1300X |
Grouping | Ambulatory Health Care Facilities |
Classification | Clinic/Center |
Specialization | Multi-Specialty |
Definition to come... |
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1932618394 | United Physicians Group, LLC | Clinic/Center | 14825 N Outer 40 Rd Ste 365, Chesterfield, MO 63017-2152 | 2017-09-28 |
1073022000 | Fairview Heights Medical Group Sc | Clinic/Center | 670 Mason Ridge Center Dr Ste 300, Saint Louis, MO 63141-8573 | 2017-09-21 |
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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.