Bolivar Family Care Center

LBN: Citizens Memorial Healthcare
Bolivar Family Care Center is an health care organization with primary practice located at 1240 N Butterfield Rd , Bolivar MO 65613-3016. The organization recently has only one registered license in Ambulatory Health Care Facilities / Rural Health, which is considered as the primary health care specialty. Citizens Memorial Healthcare can be contacted via phone (417) 326-6021, or through Vickers, Vickie L via phone (417) 328-6908.

Contact Information

Primary practice address
1240 N Butterfield Rd Bolivar MO 65613-3016
Phone: (417) 326-6021
Fax: (417) 326-6347
Website:
Map and Directions
Authorized official contact:
Name: Vickers, Vickie L
Phone: (417) 328-6908

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Rural Health 261QR1300X

Profile Details

NPI number 1063588960
LBN Legal business name Citizens Memorial Healthcare
DBA Doing business as Bolivar Family Care Center
Authorized official Vickers, Vickie L
Entity Organization
Organization subpart 1 Yes
Enumeration date Nov 24th, 2006
Last updated Feb 17th, 2014 - about 11 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 1063588960 NPPES
Missouri MEDICAID 596054304

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