| 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 | Donald J. Babb (CEO) | 
| Authorized Official Contact | 4173266000 | 
| 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 | 10/24/2014 | 
| 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 |