| Citizens Memorial Healthcare | |
|
105 N. Grand St. Suite 2 Greenfield MO 65661-0367 | |
| (417) 637-5133 | |
| (417) 637-5124 |
| Full Name | Citizens Memorial Healthcare |
|---|---|
| Speciality | Clinic/Center |
| Location | 105 N. Grand St., Greenfield, 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 Po Box 367 Greenfield MO 65661-0367 Ph: (417) 637-5133 | Citizens Memorial Healthcare 105 N. Grand St. Suite 2 Greenfield MO 65661-0367 Ph: (417) 637-5133 |
| NPI Number | 1699989350 |
|---|---|
| Provider Enumeration Date | 05/10/2007 |
| Last Update Date | 02/18/2015 |
| Medicare PECOS PAC ID | 4183528169 |
|---|---|
| Medicare Enrollment ID | O20080125000542 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1699989350 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | (* (Not Available)) | Secondary |
| 261QR1300X | Clinic/center - Rural Health | (* (Not Available)) | Primary |
Dade County Health Department Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 413 W Water St, Greenfield, MO 65661 Phone: 417-637-2345 Fax: 417-637-2507 |