| Citizens Memorial Healthcare | |
|
502 South Miller Road Willard MO 65781 | |
| (417) 761-6655 | |
| (417) 761-6646 |
| Full Name | Citizens Memorial Healthcare |
|---|---|
| Speciality | Clinic/Center |
| Location | 502 South Miller Road, Willard, 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 1500 N Oakland Ave Bolivar MO 65613-3011 Ph: (417) 328-6709 | Citizens Memorial Healthcare 502 South Miller Road Willard MO 65781 Ph: (417) 761-6655 |
| NPI Number | 1568127397 |
|---|---|
| Provider Enumeration Date | 11/06/2021 |
| Last Update Date | 02/06/2023 |
| Medicare PECOS PAC ID | 4183528169 |
|---|---|
| Medicare Enrollment ID | O20220331000624 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1568127397 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (* (Not Available)) | Secondary |
| 261QR1300X | Clinic/center - Rural Health | (* (Not Available)) | Primary |
Lester E Cox Medical Centers Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 304 E Jackson St, #5h, Willard, MO 65781 Phone: 417-269-2458 Fax: 417-269-2465 | |
Lester E. Cox Medical Centers Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 304 E Jackson St, #b-207, Willard, MO 65781 Phone: 417-269-2458 Fax: 417-269-2465 |