| Citizens Memorial Healthcare | |
|
500 N Medical Dr Ash Grove MO 65604-1005 | |
| (417) 751-2100 | |
| (417) 751-9593 |
| Full Name | Citizens Memorial Healthcare |
|---|---|
| Speciality | Clinic/Center |
| Location | 500 N Medical Dr, Ash Grove, Missouri |
| Authorized Official Name and Position | Renee Marie Meyer (CFO) |
| Authorized Official Contact | 4173286258 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Citizens Memorial Healthcare 500 N Medical Dr Ash Grove MO 65604-1005 Ph: (417) 751-2100 | Citizens Memorial Healthcare 500 N Medical Dr Ash Grove MO 65604-1005 Ph: (417) 751-2100 |
| NPI Number | 1417161449 |
|---|---|
| Provider Enumeration Date | 05/09/2007 |
| Last Update Date | 10/15/2025 |
| Medicare PECOS PAC ID | 4183528169 |
|---|---|
| Medicare Enrollment ID | O20080125000584 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1417161449 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | (* (Not Available)) | Secondary |
| 261QR1300X | Clinic/center - Rural Health | (* (Not Available)) | Primary |