CITIZENS MEMORIAL HEALTHCARE (NPI# 1699989350) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1699989350 |
Entity Type | Organization |
Organization Name | CITIZENS MEMORIAL HEALTHCARE |
Other Organization Name | DADE COUNTY FAMILY MEDICAL CENTER |
Practice Address |
105 N. Grand St. Suite 2 Greenfield MO 65661-0367 |
Mailing Address |
Po Box 367 Greenfield MO 65661-0367 |
Practice Telephone | 4176375133 |
Practice Fax Number | 4176375124 |
Mailing Telephone | 4176375133 |
Mailing Fax Number | 4176375124 |
Enumeration Date | 2007-05-10 |
Last Update Date | 2015-02-18 |
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 |
---|---|
Dade County 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 |
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 |
Street Address |
105 N. GRAND ST. SUITE 2 |
City | GREENFIELD |
State | MO |
Zip Code | 65661-0367 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1396226981 | Nicole Betty | Dermatology | 413 W Water Street, Greenfield, MO 65661 | 2018-08-22 |
1144356502 | Greenfield Pharmacy Inc | Durable Medical Equipment & Medical Supplies | 105 North Grand, Suite 1, Greenfield, MO 65661 | 2007-02-27 |
1730278730 | Malcolm B. Oliver | Family Medicine | 105 N Grand, Suite 2, Greenfield, MO 65661 | 2006-10-11 |
1972523298 | Greenfield Medical Center LLC | Family Medicine | 123 Wetzel Street, Greenfield, MO 65661 | 2006-07-20 |
1184601601 | W Curtis Rogers | Dentist | 162 South Allison Ave, Greenfield, MO 65661 | 2005-12-27 |
1164407557 | Randy Kyle Meents | Pharmacist | 105 N. Grand St., Suite 1, Greenfield, MO 65661-0158 | 2005-12-08 |
1902901176 | Lauretta M Britz | Nurse Practitioner | 105 N. Grand, #2, Greenfield, MO 65661-0367 | 2006-09-13 |
1306820824 | Rebecca Marie Roller | Counselor | 310 E Hewitt Ave, Suite C, Greenfield, MO 65661-1138 | 2005-11-30 |
1467761379 | Christian J Michau | Counselor | 310 E Hewitt Ave, Ste C, Greenfield, MO 65661-1138 | 2010-09-27 |
1417408253 | Amy Jeffries | Counselor | 406 College St # 2, Greenfield, MO 65661-1346 | 2016-10-17 |
Find all providers in zip 65661 |
Taxonomy Code | 261QR1300X |
Grouping | Ambulatory Health Care Facilities |
Classification | Clinic/Center |
Specialization | Rural Health |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1902333503 | Greater Regional Medical Center | Clinic/Center | 246 Public Sq, Greenfield, IA 50849-1258 | 2017-05-15 |
1336412261 | Highland District Hospital | Clinic/Center | 1092 Jefferson St, Greenfield, OH 45123 | 2012-02-23 |
1528243540 | Southern Monterey County Memorial Hospital | Clinic/Center | 467 El Camino Real, Greenfield, CA 93927-4915 | 2008-01-09 |
1548451818 | Southern Monterey County Memorial Hospital | Clinic/Center | 467 El Camino Real, Greenfield, CA 93927-4915 | 2007-08-05 |
1366633638 | Southern Monterey County Memorial Hospital | Clinic/Center | 467 El Camino Real, Greenfield, CA 93927-4915 | 2007-08-05 |
1912090960 | Thomas H. Boyd Memorial Hospital | Clinic/Center | 712 College St, Greenfield, IL 62044-1409 | 2006-10-02 |
1457398414 | Adair County Memorial Hospital | Clinic/Center | 609 Se Kent St, Greenfield, IA 50849-9494 | 2006-05-31 |
1902856131 | Southern Monterey County Memorial Hospital | Clinic/Center | 467 El Camino Real, Greenfield, CA 93927-4915 | 2006-05-10 |
1497712533 | Highland District Hospital Professional Services Corporation | Clinic/Center | 1092 Jefferson St, Greenfield, OH 45123-8319 | 2006-05-01 |
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 | GREENFIELD |
Zip Code | 65661 |
Please comment or provide details below to improve the information on CITIZENS MEMORIAL HEALTHCARE.
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.