| Community Memorial Hospital District | |
|
408 E 7th St Appleton City MO 64724-1617 | |
| (660) 476-2121 | |
| Not Available |
| Full Name | Community Memorial Hospital District |
|---|---|
| Speciality | Family Medicine |
| Location | 408 E 7th St, Appleton City, Missouri |
| Authorized Official Name and Position | Beverly A Johnson (BUSINESS OFFICE DIRECTOR) |
| Authorized Official Contact | 6604765203 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Community Memorial Hospital District 408 E 7th St Appleton City MO 64724-1617 Ph: (660) 476-2121 | Community Memorial Hospital District 408 E 7th St Appleton City MO 64724-1617 Ph: (660) 476-2121 |
| NPI Number | 1619117256 |
|---|---|
| Provider Enumeration Date | 02/23/2009 |
| Last Update Date | 10/14/2015 |
| Medicare PECOS PAC ID | 0345153680 |
|---|---|
| Medicare Enrollment ID | O20031111000910 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1619117256 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| Provider Name | Paul L Kramer |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1407848351 PECOS PAC ID: 2961476866 Enrollment ID: I20040825001171 |
| Provider Name | Jerad E Widman |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1083655039 PECOS PAC ID: 5496712168 Enrollment ID: I20041214000750 |
| Provider Name | Richard R Dailey |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1588675953 PECOS PAC ID: 8123090966 Enrollment ID: I20050211000886 |
| Provider Name | John F Best |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1154373462 PECOS PAC ID: 7315986320 Enrollment ID: I20050428001064 |
| Provider Name | Anthony T Tay |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1669416046 PECOS PAC ID: 4688604911 Enrollment ID: I20050817000031 |
| Provider Name | Cynthia A Moran |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1104866722 PECOS PAC ID: 0941203475 Enrollment ID: I20060822000576 |
| Provider Name | Lisa R Nordberg |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1114091212 PECOS PAC ID: 9638069594 Enrollment ID: I20070116000167 |
| Provider Name | Jonathan E Gray |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1578798054 PECOS PAC ID: 5597989178 Enrollment ID: I20140623000864 |
| Provider Name | Jared W Nichols |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1982018727 PECOS PAC ID: 4587954409 Enrollment ID: I20160606002094 |
| Provider Name | Jamie Lynn Ofarrell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1437604592 PECOS PAC ID: 7618264920 Enrollment ID: I20160929000700 |
| Provider Name | Muhammad A Shoaib |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1881672376 PECOS PAC ID: 2062422330 Enrollment ID: I20170220001844 |
| Provider Name | Kendrick R Maus |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1992367502 PECOS PAC ID: 4284969825 Enrollment ID: I20190718001012 |
Community Memorial Hospital Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 408 E 7th St, Appleton City, MO 64724 Phone: 660-476-2121 Fax: 660-476-2130 | |
Community Memorial Hospital District Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 408 E 7th St, Appleton City, MO 64724 Phone: 660-476-2121 |