Citizens Memorial Health Care Foundation

LBN: Citizens Memorial Health Care Foundation
Citizens Memorial Health Care Foundation is an health care organization with primary practice located at 1521 S 3Rd Street , Stockton MO 65785-9608. The organization recently has only one registered license in Suppliers / Durable Medical Equipment & Medical Supplies, which is considered as the primary health care specialty. Citizens Memorial Health Care Foundation can be contacted via phone (417) 276-2401, or through Fulbright, Gary D via phone (417) 328-6501.

Contact Information

Primary practice address
1521 S 3Rd Street Stockton MO 65785-9608
Phone: (417) 276-2401
Fax: (417) 326-3591
Website:
Map and Directions
Authorized official contact:
Name: Fulbright, Gary D
Phone: (417) 328-6501

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Durable Medical Equipment & Medical Supplies 332B00000X 13241672 Missouri

Profile Details

NPI number 1568737161
LBN Legal business name Citizens Memorial Health Care Foundation
DBA Doing business as
Authorized official Fulbright, Gary D
Entity Organization
Organization subpart 1 No
Enumeration date Mar 14th, 2012
Last updated Feb 14th, 2020 - about 6 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1568737161 NPPES
Missouri MEDICAID 621752500

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