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CITIZENS MEMORIAL HOSPITAL DISTRICT NPI 1558548818


NPI Information

NPI: 1558548818
Provider Name: CITIZENS MEMORIAL HOSPITAL DISTRICT

Other Name: CMH HOSPITAL-BASED PHYSICIANS

Classification: Emergency Medicine - 207P00000X
Entity Type: Organization

CLIA Number: 26D0447107

Address:
1500 N OAKLAND AVE
BOLIVAR, MO
ZIP 65613
Phone: (417) 326-6000
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CITIZENS MEMORIAL HOSPITAL DISTRICT is an emergency medicine in Bolivar, MO. The provider is an emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury. CITIZENS MEMORIAL HOSPITAL DISTRICT NPI is 1558548818. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Other Name Is Cmh Hospital-based Physicians.

The provider's business location address is:

1500 N OAKLAND AVE
BOLIVAR, MO
ZIP 65613-011
Phone: (417) 326-6000

The provider's authorized official is Brenda Shepherd .
The authorized official title is Provider Applications and has the following contact phone number (417) 328-7705.

The CLIA number assigned to this NPI record is 26D0447107 - hospital with a certificate type of Certificate of Accreditation.

The enumeration date for this NPI number is 1/29/2008 and was last updated on 4/2/2008.


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
1207L00000XAnesthesiologyNo
22085R0202XRadiologyDiagnostic RadiologyNo
3363L00000XNurse PractitionerNo
4367500000XNurse Anesthetist, Certified RegisteredNo
5207P00000XEmergency MedicineYes

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

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