| Citizens Memorial Healthcare | |
|
Hwy 254 & Dallas Hermitage MO 65668-0125 | |
| (417) 745-2121 | |
| Not Available |
| Full Name | Citizens Memorial Healthcare |
|---|---|
| Speciality | Clinic/center - Rural Health |
| Location | Hwy 254 & Dallas, Hermitage, Missouri |
| Authorized Official Name and Position | Donald J Babb (CEO) |
| Authorized Official Contact | 4173266000 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Citizens Memorial Healthcare Po Box 125 Hermitage MO 65668-0125 Ph: (417) 745-2121 | Citizens Memorial Healthcare Hwy 254 & Dallas Hermitage MO 65668-0125 Ph: (417) 745-2121 |
| NPI Number | 1043424708 |
|---|---|
| Provider Enumeration Date | 05/10/2007 |
| Last Update Date | 09/24/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1043424708 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | (* (Not Available)) | Secondary |
| 261QR1300X | Clinic/center - Rural Health | (* (Not Available)) | Primary |
Ozarks Resource Group Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 18627 Jackson St, Hermitage, MO 65668 Phone: 417-745-2121 Fax: 417-745-7029 | |
Ozarks Resource Group Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 18614 Jackson Street, Hermitage, MO 65613 Phone: 417-745-2121 Fax: 417-745-6141 |