CITIZENS MEMORIAL HEALTH CARE FOUNDATION (NPI# 1801318472) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1801318472 |
| Entity Type | Organization |
| Organization Name | CITIZENS MEMORIAL HEALTH CARE FOUNDATION |
| Other Organization Name | STEPHENS PHARMACY AT CMH |
| Practice Address |
1100 S Springfield Ave Bolivar MO 65613-2512 |
| Practice Telephone | 4173266003 |
| Practice Fax Number | 4177775806 |
| Mailing Telephone | 4173266003 |
| Mailing Fax Number | 4177775806 |
| Enumeration Date | 2017-07-14 |
| Last Update Date | 2019-10-25 |
| Authorized Official Name | MRS. RENEE MARIE MEYER (DIRECTOR OF FINANCE) |
| Authorized Official Telephone | 4173286258 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 333600000X | Pharmacy | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PK | 2169973 | 01 |
| Other Name | Type Code |
|---|---|
| Butterfield Pharmacy | Doing Business As Name - Organization |
| Stephens Pharmacy at CMH | 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 |
| 1124157169 | Citizens Memorial Health Care Foundation | Hospice Care, Community Based | 111 W Broadway St, Bolivar, MO 65613-1501 | 2007-03-05 |
| 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 |
| Street Address |
1100 S SPRINGFIELD AVE |
| City | BOLIVAR |
| State | MO |
| Zip Code | 65613-2512 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093726630 | Stephens Pharmacy Inc | Pharmacy | 1100 S Springfield Ave, Bolivar, MO 65613-2512 | 2006-08-10 |
| 1588289789 | Bailey Lane Sherry | Pharmacist | 1100 S Springfield Ave, Bolivar, MO 65613-2512 | 2020-06-12 |
| 1033472972 | Timothy Eugene West | Pharmacist | 1100 S Springfield Ave, Bolivar, MO 65613-2512 | 2012-06-15 |
| 1861767568 | Citizens Memorial Health Care Foundation | Durable Medical Equipment & Medical Supplies | 1100 S Springfield Ave, Bolivar, MO 65613-2512 | 2012-03-13 |
| 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 | 333600000X |
| Grouping | Suppliers |
| Classification | Pharmacy |
| A facility used by pharmacists for the compounding and dispensing of medicinal preparations and other associated professional and administrative services. A pharmacy is a facility whose primary function is to store, prepare and legally dispense prescription drugs under the professional supervision of a licensed pharmacist. It meets any licensing or certification standards set forth by the jurisdiction where it is located. |
| Notes: Source: Developed by National Council for Prescription Drug Programs (NCPDP), National Home Infusion Association (NHIA), and Pharmacist Services Technical Advisory Coalition (PSTAC) [1/1/2006: added definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013021328 | Sparks Pharmacy Inc | Pharmacy | 2000 S Springfield Ave, Bolivar, MO 65613-9654 | 2006-08-17 |
| 1801809785 | Sparks Pharmacy Inc | Pharmacy | 1001 E Cambridge St, Bolivar, MO 65613-3502 | 2006-08-14 |
| 1093726630 | Stephens Pharmacy Inc | Pharmacy | 1100 S Springfield Ave, Bolivar, MO 65613-2512 | 2006-08-10 |
| 1902838840 | Freds Stores of Tennessee Inc | Pharmacy | 105 Tennessee St, Bolivar, TN 38008-1822 | 2006-07-07 |
| 1255302451 | Citizens Memorial Health Care Foundation | Pharmacy | 1301b N Oakland Ave, Bolivar, MO 65613-3019 | 2006-01-27 |
| 1073078481 | Southern Express Pharmacy | Pharmacy | 1355 W Market St, Bolivar, TN 38008-1715 | 2019-02-10 |
| 1639691959 | Citizens Memorial Health Care Foundation | Pharmacy | 1100 S Springfield Ave Ste A, Bolivar, MO 65613 | 2017-07-07 |
| 1750326195 | Portville Pharmacy Inc | Pharmacy | 323 Main St, Bolivar, NY 14715-1108 | 2006-06-19 |
| 1598723447 | The Hatchie Pharmacy LLC | Pharmacy | 640 Nuckolls Rd, Bolivar, TN 38008-1532 | 2006-05-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912506437 | E Health Pharmacy, LLC | Pharmacy | 411d Northview Rd, Nixa, MO 65714-8679 | 2020-10-26 |
| 1750994869 | Script Partner Pharmacy LLC | Pharmacy | 100 Chesterfield Bus Pkwy Ste 279, Chesterfield, MO 63005-1271 | 2020-08-28 |
| 1821600545 | Debbie S Pharmacy LLC | Pharmacy | 815 Hazelwest Dr Ste 100, Hazelwood, MO 63042-1762 | 2020-08-24 |
| 1689285082 | Logan & Seiler Inc | Pharmacy | 102 Hospitality Drive, Suite B, Sikeston, MO 63801 | 2020-08-11 |
| 1023626389 | Lemonaid Community Pharmacy, Inc | Pharmacy | 7580 Watson Rd, Saint Louis, MO 63119-4409 | 2020-07-22 |
| 1689207870 | Washington University Cancer Center Pharmacy - North County | Pharmacy | 1225 Graham Rd Fl 1, Florissant, MO 63031-8012 | 2020-02-17 |
| 1942847413 | Southeast Hospital | Pharmacy | 2600 E. Main Street, Suite 113, Jackson, MO 63755 | 2019-12-04 |
| 1720624323 | Toney Drug & Wellness, LLC | Pharmacy | #1 Hals Plaza Dr, Piedmont, MO 63957 | 2019-11-19 |
| 1427606912 | Medley Pharmacy Inc | Pharmacy | 1024 S Bishop Ave, Rolla, MO 65401-4416 | 2019-08-28 |
| 1013479716 | Cerner Health Connections, Inc. | Pharmacy | 1403 Hampton Avenue, St. Louis, MO 63139 | 2019-04-02 |
| 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.