CITIZENS MEMORIAL HEALTHCARE NPI 1447464227

NPI Information

NPI: 1447464227
Provider Name: CITIZENS MEMORIAL HEALTHCARE

Doing Business As: STOCKTON FAMILY MEDICAL CENTER

Classification: Clinic/Center - 261QR1300X
Entity Type: Organization

Specialization: Rural Health

Address:
1521 3RD RD
STOCKTON, MO
ZIP 65785
Phone: (417) 276-5131
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CITIZENS MEMORIAL HEALTHCARE is a rural health clinic center in Stockton, MO. CITIZENS MEMORIAL HEALTHCARE NPI is 1447464227. The provider is registered as an organization entity type.
The provider Is Doing Business As Stockton Family Medical Center.

The provider's business location address is:

1521 3RD RD
STOCKTON, MO
ZIP 65785-608
Phone: (417) 276-5131

The provider's authorized official is Donald J Babb .
The authorized official title is Ceo and has the following contact phone number (417) 326-6000.

The CLIA number assigned to this NPI record is 26D0447515 - rural health clinic with a certificate type of Certificate of Compliance.

The enumeration date for this NPI number is 5/10/2007 and was last updated on 10/15/2014.

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	261QP2300X	Clinic/Center	Primary Care			No
2	261QR1300X	Clinic/Center	Rural Health			Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	263977	MEDICARE ID-TYPE UNSPECIFIED	NEBRASKA
2	263977	MEDICARE OSCAR/CERTIFICATION	MISSOURI

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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