CITIZENS MEMORIAL HEALTH CARE FOUNDATION NPI 1124157169

NPI Information

NPI: 1124157169
Provider Name: CITIZENS MEMORIAL HEALTH CARE FOUNDATION

Doing Business As: CITIZENS MEMORIAL HOSPICE

Classification: Hospice Care, Community Based - 251G00000X
Entity Type: Organization
Address:
111 W BROADWAY ST
BOLIVAR, MO
ZIP 65613
Phone: (417) 328-6350
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CITIZENS MEMORIAL HEALTH CARE FOUNDATION is a hospice care community based in Bolivar, MO. CITIZENS MEMORIAL HEALTH CARE FOUNDATION NPI is 1124157169. The provider is registered as an organization entity type.
The provider Is Doing Business As Citizens Memorial Hospice.

The provider's business location address is:

111 W BROADWAY ST
BOLIVAR, MO
ZIP 65613-501
Phone: (417) 328-6350
Fax: (417) 328-6987

The provider's authorized official is Gary D. Fulbright .
The authorized official title is Executive Director and has the following contact phone number (417) 328-6501.

The enumeration date for this NPI number is 3/5/2007 and was last updated on 2/18/2020.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	251G00000X	Hospice Care, Community Based		003-10H0	MISSOURI	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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