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Citizens Memorial Health Care Foundation

Durable Medical Equipment & Medical Supplies in Bolivar, MO. Organization (NPI-2).

NPI number1285605477
StatusActive
Last updated in NPPESFeb 12, 2020

Details

NPI
1285605477
Entity type
Organization (NPI-2)
Legal business name
Citizens Memorial Health Care Foundation
Organization subpart
No
Enumeration date
Jan 27, 2006
Certification date
Feb 12, 2020
Last updated
Feb 12, 2020

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
332B00000X Durable Medical Equipment & Medical Supplies13241672MOYes

Other names

  • Citizens Memorial Home Medical Equipment (Doing Business As)

Practice location

1915 S Springfield Ave
Bolivar, MO 65613-9684

Phone 417-326-3584 · Fax 417-326-3591

Mailing address

1500 N Oakland Ave
Bolivar, MO 65613-3011

Phone 417-326-6000 · Fax 417-328-6242

Authorized official

Gary D Fulbright
Executive Director
4173286501

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Other Durable Medical Equipment & Medical Supplies providers in Bolivar, MO

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