CITIZENS MEMORIAL HEALTH CARE FOUNDATION (NPI# 1124157169) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1124157169 |
| Entity Type | Organization |
| Organization Name | CITIZENS MEMORIAL HEALTH CARE FOUNDATION |
| Other Organization Name | CITIZENS MEMORIAL HOSPICE |
| Practice Address |
111 W Broadway St Bolivar MO 65613-1501 |
| Mailing Address |
1500 N Oakland Ave Bolivar MO 65613-3099 |
| Practice Telephone | 4173286350 |
| Practice Fax Number | 4173286987 |
| Mailing Telephone | 4173266000 |
| Mailing Fax Number | 4173286237 |
| Enumeration Date | 2007-03-05 |
| Last Update Date | 2020-02-18 |
| Authorized Official Name | GARY D. FULBRIGHT (EXECUTIVE DIRECTOR) |
| Authorized Official Telephone | 4173286501 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251G00000X | Hospice Care, Community Based | 003-10H0 | MO | Agencies |
| Other Name | Type Code |
|---|---|
| Citizens Memorial Hospice | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659646255 | Citizens Memorial Health Care Foundation | Durable Medical Equipment & Medical Supplies | 121 W Main, Warsaw, MO 65355-3195 | 2012-03-14 |
| 1568737161 | Citizens Memorial Health Care Foundation | Durable Medical Equipment & Medical Supplies | 1521 S 3rd Street, Stockton, MO 65785-9608 | 2012-03-14 |
| 1003181777 | Citizens Memorial Health Care Foundation | Durable Medical Equipment & Medical Supplies | 105 N Grand St Ste 3, Greenfield, MO 65661-8198 | 2012-03-14 |
| 1902171705 | Citizens Memorial Health Care Foundation | Durable Medical Equipment & Medical Supplies | 114 W Polk St, Hermitage, MO 65668-0382 | 2012-03-13 |
| 1639384597 | Citizens Memorial Health Care Foundation | Clinic/Center | 1500 N. Oakland Ave, Bolivar, MO 65613-3099 | 2007-05-14 |
| 1689791311 | Citizens Memorial Health Care Foundation | Assisted Living Facility | 1120 N Butterfield Rd, Bolivar, MO 65613-1000 | 2007-03-26 |
| 1205807898 | Citizens Memorial Health Care Foundation | Durable Medical Equipment & Medical Supplies | 309 S Ash St, Suite 101, Buffalo, MO 65622-8300 | 2006-01-31 |
| 1255302451 | Citizens Memorial Health Care Foundation | Pharmacy | 1301b N Oakland Ave, Bolivar, MO 65613-3019 | 2006-01-27 |
| 1285605477 | Citizens Memorial Health Care Foundation | Durable Medical Equipment & Medical Supplies | 1915 S Springfield Ave, Bolivar, MO 65613-9684 | 2006-01-27 |
| 1386624906 | Citizens Memorial Health Care Foundation | Skilled Nursing Facility | 401 N Medical Dr, Ash Grove, MO 65604-1004 | 2006-01-19 |
| Street Address |
111 W BROADWAY ST |
| City | BOLIVAR |
| State | MO |
| Zip Code | 65613-1501 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376672238 | Citizens Memorial Health Care Foundation | Home Health | 111 W Broadway St, Bolivar, MO 65613-1501 | 2007-03-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891301552 | Casablanca Care Center, LLC | Home Health | 524 S. Albany Avenue, Bolivar, MO 65613 | 2020-09-18 |
| 1669087045 | Revive Medical LLC | Durable Medical Equipment & Medical Supplies | 5000, S Scenic, Bolivar, MO 65613 | 2020-09-11 |
| 1669097119 | Melanie Nicole Beckham | Nurse Practitioner | 1100 South Springfield Ave, Suite B, Bolivar, MO 65613 | 2020-06-10 |
| 1932754744 | Caitlin M Williams | Specialist/Technologist | 1260 S Pike Avenue, Bolivar, MO 65613 | 2019-08-08 |
| 1073022406 | Jacquelyn Rose Kemnic | Dietitian, Registered | Heart Center, 1500 N Oakland Ave, Willard, MO 65613 | 2017-09-28 |
| 1164897161 | Ozarks Resource Group | Clinic/Center | 203 E. Broadway St., Bolivar, MO 65613 | 2015-12-02 |
| 1962895292 | Professional Christian Counseling | Counselor | 4888 S 139th Road, Bolivar, MO 65613 | 2015-03-11 |
| 1073916573 | Scott Leslie Dennis | Physician Assistant | 1500 North Oakland Ave, Citizens Memorial Hospital, Bolivar, MO 65613 | 2014-09-29 |
| 1053712109 | Citizens Memorial Hospital District | Pharmacy | 1301-b North Oakland, Bolivar, MO 65613 | 2014-09-09 |
| 1740680453 | Jamee M Stimpson | Occupational Therapist | 454 S. Main Avenue, Bolivar, MO 65613 | 2014-08-29 |
| Find all providers in zip 65613 | ||||
| Taxonomy Code | 251G00000X |
| Grouping | Agencies |
| Classification | Hospice Care, Community Based |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174699003 | Nurses & Company Hospice, LLC | Hospice Care, Community Based | 1439 E Broadway St, Bolivar, MO 65613-2950 | 2006-11-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417558412 | Avimarie Vitality Home Care LLC | Hospice Care, Community Based | 262 Reasor Dr, Saint Louis, MO 63135-1129 | 2020-11-05 |
| 1992312383 | Specialized Hospice | Hospice Care, Community Based | 2311 S Redwood Ave # Ba, Independence, MO 64057-2405 | 2020-09-29 |
| 1477176345 | Community Hospice of The Carolinas, LLC | Hospice Care, Community Based | 10100 N Ambassador Dr Ste 100b, Kansas City, MO 64153-2313 | 2020-05-26 |
| 1073144572 | Vna Corporation | Hospice Care, Community Based | 1500 Meadow Lake Pkwy Ste 100, Kansas City, MO 64114-1620 | 2020-02-03 |
| 1821648684 | Crown Hospice of Poplar Bluff, LLC | Hospice Care, Community Based | 1125 Herschel Bess Blvd Ste 1, Poplar Bluff, MO 63901-3073 | 2019-09-13 |
| 1518514801 | Appl Orchard Hospice of Missouri Inc | Hospice Care, Community Based | 1600 Genessee St Ste 610, Kansas City, MO 64102-1082 | 2019-08-21 |
| 1811549322 | Allegiance Home Health Care LLC | Hospice Care, Community Based | 6439 Plymouth Ave Ste W116, Saint Louis, MO 63133-1905 | 2019-07-15 |
| 1770149023 | Clouds of Care In-home Healthcare Services LLC | Hospice Care, Community Based | 3450 Magnolia Ave, Saint Louis, MO 63118 | 2019-05-13 |
| 1720548522 | Deer Valley Hospice Care LLC | Hospice Care, Community Based | 8600 Airport Rd Ste 103, Saint Louis, MO 63134-1937 | 2019-03-20 |
| 1902361504 | Solace Hospice Care LLC | Hospice Care, Community Based | 14010 Manchester Rd, Manchester, MO 63011-4514 | 2019-02-07 |
| 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.