Organization · Type 2 NPI

Citizens Memorial Healthcare

Rural Health Clinic/Center · Hermitage, MO

NPI number 1043424708 Active

Practice location

Hwy 254 & Dallas
Hermitage, MO 65668-0125

Call (417) 745-2121 Map

Mailing address

PO Box 125
Hermitage, MO 65668-0125

Specialties and licenses

Taxonomy	Code	License
Primary Care Clinic/Center	261QP2300X	None listed
Rural Health Clinic/Center Primary	261QR1300X	None listed

Rural Health Clinic/Center: Definition to come...

NPI record

NPI: 1043424708
Entity type: Organization (Type 2)
Issued: May 10, 2007
Last updated: Sep 24, 2015
Status: Active
Subpart: Yes of Citizens Memorial Hospital District

Other names

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Hermitage Family Medical Center · doing business as

Authorized official

Donald J Babb
CEO
(417) 326-6000

Verify this record

This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1043424708

Citizens Memorial Healthcare's National Provider Identifier is 1043424708, issued on May 10, 2007. The primary taxonomy on file is Rural Health Clinic/Center (261QR1300X), and the practice location is in Hermitage, MO. The record was last updated on Sep 24, 2015.