CITIZENS MEMORIAL HEALTHCARE


Address: 1521 3rd Rd, Stockton, MO 65785-9608
Phone: 4172765131

CITIZENS MEMORIAL HEALTHCARE (NPI# 1447464227) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1447464227
Entity Type Organization
Organization Name CITIZENS MEMORIAL HEALTHCARE
Other Organization Name STOCKTON FAMILY MEDICAL CENTER
Practice Address 1521 3rd Rd
Stockton
MO 65785-9608
Practice Telephone 4172765131
Mailing Telephone 4172765131
Enumeration Date 2007-05-10
Last Update Date 2014-10-15
Authorized Official Name DONALD J BABB (CEO)
Authorized Official Telephone 4173266000
Is Organization Subpart Y
Parent Organization Name CITIZENS MEMORIAL HOSPITAL CLINICS

Taxonomy

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 Provider/Organization Names

Other Name Type Code
Stockton Family Medical Center Doing Business As Name - Organization

Other Provider IDs and Locations

NPI Name Taxonomy Address Enumeration
1851834659 Citizens Memorial Healthcare Clinic/Center 322 E Hospital Road, El Dorado Springs, MO 64744-2022 2016-11-28
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
1831303502 Citizens Memorial Healthcare Clinic/Center 1300 N Oakland Ave, Bolivar, MO 65613-3018 2007-05-10

Office Location

Street Address 1521 3RD RD
City STOCKTON
State MO
Zip Code 65785-9608

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1891017356 Debbie Lynn Haines Pharmacy Technician 19 Public Square, Stockton, MO 65785 2010-02-24
1316003759 Cheryl Thornton Psychologist 808 South St, Stockton, MO 65785 2006-12-29
1336192582 Rodger S Campbell Emergency Medicine 106 West Blair Drive, Stockton, MO 65785 2006-05-18
1134109713 Citizens Memorial Health Care Foundation Skilled Nursing Facility 811 Owens Mill Rd, Stockton, MO 65785 2006-01-19
1376865865 Katherine Marie Hicks Pharmacy Technician 19 Public Square, Stockton, MO 65785 2010-02-24
1639212608 Stockton R-i School District Physical Therapist 906 South St, Stockton, MO 65785 2007-02-15
1114249752 Karen Sue Purtle Pharmacist 19 Public Square, Stockton, MO 65785-0189 2010-02-24
1801921366 Emily F Green Speech-Language Pathologist 906 Sout St, Stockton R-i School District, Stockton, MO 65785-0190 2007-02-23
1942223649 Troy Devon Evans Chiropractor 107 W Hwy 32, Suite D, Stockton, MO 65785-0384 2006-07-25
1962683524 Craig Maxwell, D.d.s., P.C. Dentist 201 West Smith Drive, Stockton, MO 65785-0609 2007-11-23
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Taxonomy Information

Taxonomy Code 261QR1300X
Grouping Ambulatory Health Care Facilities
Classification Clinic/Center
Specialization Rural Health

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1194749713 Cedar County Memorial Hospital Clinic/Center 807 Owens Mill Rd, Stockton, MO 65785-8359 2006-07-27
1508841552 Rooks County Medical Associates Pa Clinic/Center 623 S 2nd St, Stockton, KS 67669-1966 2005-12-13
1275656068 Cedar County Memorial Hospital Clinic/Center 807 Owens Mill Rd, Stockton, MO 65785-8359 2007-04-09

Providers in the same taxonomy and state

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

Competitor

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City STOCKTON
Zip Code 65785

Improve Information

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Dataset Information

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.

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