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CITIZENS MEMORIAL HEALTHCARE NPI 1568566131


NPI Information

NPI: 1568566131
Provider Name: CITIZENS MEMORIAL HEALTHCARE
Classification: Surgery - 208600000X
Entity Type: Organization
Address:
1500 N OAKLAND AVE
BOLIVAR, MO
ZIP 65613
Phone: (417) 326-6000
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CITIZENS MEMORIAL HEALTHCARE is a surgery in Bolivar, MO. The provider is a general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery. CITIZENS MEMORIAL HEALTHCARE NPI is 1568566131. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

1500 N OAKLAND AVE
BOLIVAR, MO
ZIP 65613-011
Phone: (417) 326-6000
Fax: (417) 328-6242

The provider's authorized official is Donald J Babb .
The authorized official title is Chief Executive Officer and has the following contact phone number (417) 328-6501.

The enumeration date for this NPI number is 9/12/2006 and was last updated on 1/5/2017.


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
1103TC1900XPsychologistCounselingNo
2104100000XSocial WorkerNo
3152W00000XOptometristNo
4207LP2900XAnesthesiologyPain MedicineNo
5207Q00000XFamily MedicineNo
6207V00000XObstetrics & GynecologyNo
7207W00000XOphthalmologyNo
8207X00000XOrthopaedic SurgeryNo
9208000000XPediatricsNo
102081P2900XPhysical Medicine & RehabilitationPain MedicineNo
112084P0800XPsychiatry & NeurologyPsychiatryNo
12208600000XSurgeryYes
13208M00000XHospitalistNo
14213E00000XPodiatristNo
15363A00000XPhysician AssistantNo

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
15033120002MEDICARE NSCMISSOURI
25033120003MEDICARE NSCMISSOURI
3DA1716MEDICARE PINMISSOURI
4000013888MEDICARE OSCAR/CERTIFICATIONMISSOURI

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

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.