| Citizens Memorial Healthcare | |
|
201 S Arthur St Humansville MO 65674-8400 | |
| (417) 754-2223 | |
| (417) 754-8046 |
| Full Name | Citizens Memorial Healthcare |
|---|---|
| Speciality | Clinic/Center |
| Location | 201 S Arthur St, Humansville, Missouri |
| Authorized Official Name and Position | Donald J Babb (CEO) |
| Authorized Official Contact | 4173286000 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Citizens Memorial Healthcare Po Box 215 Humansville MO 65674-0215 Ph: (417) 754-2223 | Citizens Memorial Healthcare 201 S Arthur St Humansville MO 65674-8400 Ph: (417) 754-2223 |
| NPI Number | 1508070269 |
|---|---|
| Provider Enumeration Date | 05/10/2007 |
| Last Update Date | 08/20/2014 |
| Medicare PECOS PAC ID | 4183528169 |
|---|---|
| Medicare Enrollment ID | O20080123000715 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1508070269 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | (* (Not Available)) | Secondary |
| 261QR1300X | Clinic/center - Rural Health | (* (Not Available)) | Primary |