Organization Name: | CAMERON REGIONAL MEDICAL CENTER INC |
NPI Number: | 1659700813 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | JOSEPH F ABRUTZ (ADMINISTRATOR) |
Mailing Address: | 12050 12th St Eagleville |
State: | MO US |
Postal Code: | 644428158 |
Phone Number: | 8166322101 |
Fax Number: | |
NPI Enumeration Date: | 11/07/2013 |
NPI Last Update Date: | 11/07/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 261QR1300X |
License Number: | 473-11 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MO |
Taxonomy Type: | Ambulatory Health Care Facilities |
Taxonomy Classification: | Clinic/Center |
Taxonomy Specialization: | Rural Health |
Taxonomy Definition: |