| Organization Name: | BOLIVAR MEDICAL CENTER, INC. |
| NPI Number: | 1063442887 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | JOSEPH D FOLLIS (OWNER/PRESIDENT) |
| Mailing Address: | 714 N Pomme De Terre Ave Bolivar |
| State: | MO US |
| Postal Code: | 656131241 |
| Phone Number: | 4173264000 |
| Fax Number: | 4173266400 |
| NPI Enumeration Date: | 07/04/2006 |
| NPI Last Update Date: | 01/20/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 170100000X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | |
| Taxonomy Type: | Other Service Providers |
| Taxonomy Classification: | Medical Genetics, Ph.D. Medical Genetics |
| Taxonomy Specialization: | |
| Taxonomy Definition: | A medical geneticist works in association with a medical specialist, is affiliated with a clinical genetics program, and serves as a consultant to medical and dental specialists. |