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Contact Information

CITIZENS MEMORIAL HOSPITAL DISTRICT
1500 N OAKLAND AVE
BOLIVAR, MO65613-3011
 Phone: 417-326-6000
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Emergency Medicine

207P00000X 93 Physician/Emergency Medicine
 

Anesthesiology

207L00000X 79 Physician/Addiction Medicine
 

Diagnostic Radiology

2085R0202X 30 Physician/Diagnostic Radiology
 

Nurse Anesthetist, Certified Registered

367500000X 43 Certified Registered Nurse Anesthetist (CRNA)
 

Nurse Practitioner

363L00000X 50 Nurse Practitioner
Indicates primary specialty

NPI Profile & details for CITIZENS MEMORIAL HOSPITAL DISTRICT

NPI # 1558548818
LBN Legal business name CITIZENS MEMORIAL HOSPITAL DISTRICT
Authorized official RENEE MEYER - (CFO)
Entity Organization
Organization subpart 1 Yes
Enumeration date 01/29/2008
Last updated 10/15/2025 - About 8 months ago
Identifiers
MO Medicaid 541752507
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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