Citizens Memorial Health Care Foundation

NPI #1639384597 in Bolivar, Missouri

Provider Information

NPI Number: 1639384597
Entity Type: Organization
Organization Name: Citizens Memorial Health Care Foundation
Primary Specialty: Clinic/Center - Dental
Enumeration Date: May 14, 2007
Last Updated: Oct 4, 2013

Practice Location

Address: 1500 N. OAKLAND AVE
City: Bolivar
State: Missouri
ZIP Code: 65613-3099
Phone: (417) 328-6334

Authorized Official

Name: DONALD J. BABB
Title: CEO
Phone: (417) 326-6501

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Clinic/Center - Dental — Dental	261QD0000X	Primary

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