CITIZENS MEMORIAL HEALTHCARE CLINICS (NPI# 1235395765) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1235395765 |
| Entity Type | Organization |
| Organization Name | CITIZENS MEMORIAL HEALTHCARE CLINICS |
| Other Organization Name | PARKVIEW ORTHOPAEDIC CLINIC |
| Practice Address |
1155 W Parkview St Suite 2d Bolivar MO 65613-8279 |
| Mailing Address |
Po Box 939 Bolivar MO 65613-0939 |
| Practice Telephone | 4177772663 |
| Practice Fax Number | 4177772666 |
| Mailing Telephone | 4177776911 |
| Mailing Fax Number | 4173266936 |
| Enumeration Date | 2008-08-04 |
| Last Update Date | 2008-12-01 |
| Authorized Official Name | BRENDA SHEPHERD (PROVIDER APPLICATION SPECIALIST) |
| Authorized Official Telephone | 4173287705 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 332B00000X | Durable Medical Equipment & Medical Supplies | 313-25 | MO | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MO | 626364806 | 05 |
| Other Name | Type Code |
|---|---|
| Parkview Orthopaedic Clinic | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972769404 | Citizens Memorial Healthcare Clinics | Durable Medical Equipment & Medical Supplies | 1630 Killingsworth Ave, Bolivar, MO 65613-2282 | 2008-08-04 |
| Street Address |
1155 W PARKVIEW ST SUITE 2D |
| City | BOLIVAR |
| State | MO |
| Zip Code | 65613-8279 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679531545 | Walter Wayne Wolf IIi | Surgery | 1155 W Parkview St, Suite 1f, Bolivar, MO 65613-8279 | 2006-05-02 |
| 1265971865 | Jacob (jake) William Condren | Physician Assistant | 1155 W Parkview St, Suite 2d, Bolivar, MO 65613-8279 | 2017-02-15 |
| 1073829925 | Troy Morrison | Orthopaedic Surgery | 1155 W Parkview St, Suite 2d, Bolivar, MO 65613-8279 | 2010-08-28 |
| 1285956797 | Matthew Campbell Ericksen | Otolaryngology | 1155 W Parkview St, Suite 2j, Bolivar, MO 65613-8279 | 2010-02-25 |
| 1851468987 | Martin S. Tyson | Surgery | 1155 W Parkview St, Suite 1g, Bolivar, MO 65613-8279 | 2006-11-30 |
| 1508979477 | Kenneth Ronald Smith | Orthopaedic Surgery | 1155 W Parkview St, Suite 2d, Bolivar, MO 65613-8279 | 2006-08-16 |
| 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 | 332B00000X |
| Grouping | Suppliers |
| Classification | Durable Medical Equipment & Medical Supplies |
| A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient’s use in the home and that are usable for an extended period of time. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275601353 | Dan Mchans Store Inc | Durable Medical Equipment & Medical Supplies | 103 E Broadway St, Bolivar, MO 65613-1621 | 2006-11-30 |
| 1033217062 | Family Pharmacy of Missouri LLC | Durable Medical Equipment & Medical Supplies | 1326 W Broadway St, Bolivar, MO 65613-1815 | 2006-09-21 |
| 1881611069 | Wal-mart Stores East Lp | Durable Medical Equipment & Medical Supplies | 1604 W Market St, Bolivar, TN 38008-1536 | 2006-07-16 |
| 1881611200 | Wal-mart Stores East Lp | Durable Medical Equipment & Medical Supplies | 2451 S Springfield Ave, Bolivar, MO 65613-9123 | 2006-07-16 |
| 1285605477 | Citizens Memorial Health Care Foundation | Durable Medical Equipment & Medical Supplies | 1915 S Springfield Ave, Bolivar, MO 65613-9684 | 2006-01-27 |
| 1578042164 | Smith Management Services, LLC | Durable Medical Equipment & Medical Supplies | 1326 W Broadway St, Bolivar, MO 65613-1815 | 2018-08-14 |
| 1710427612 | Citizens Memorial Healthcare Foundation | Durable Medical Equipment & Medical Supplies | 1501 N Oakland Ave, Bolivar, MO 65613-3020 | 2017-02-27 |
| 1538540406 | Summers Pharmacy of Bolivar, Inc | Durable Medical Equipment & Medical Supplies | 2000 S Springfield Ave, Bolivar, MO 65613-9654 | 2015-06-16 |
| 1619303823 | Citizens Memorial Hospital District | Durable Medical Equipment & Medical Supplies | 1500 N Oakland Ave, Bolivar, MO 65613-3011 | 2013-09-19 |
| 1861767568 | Citizens Memorial Health Care Foundation | Durable Medical Equipment & Medical Supplies | 1100 S Springfield Ave, Bolivar, MO 65613-2512 | 2012-03-13 |
| Find all providers in BOLIVAR | ||||
Please comment or provide details below to improve the information on CITIZENS MEMORIAL HEALTHCARE CLINICS.
| 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.