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CITIZENS MEMORIAL HEALTHCARE
NPI 1063588960
Clinic/Center - Rural Health in Bolivar, MO

Active since November 24, 2006CLIA 26D1092556 · Waiver
1240 N BUTTERFIELD RD, BOLIVAR, MO 65613(417) 326-6021(417) 326-6347 Get Directions Write a Review

NPPES record last updated: October 21, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Citizens Memorial Healthcare NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

CITIZENS MEMORIAL HEALTHCARE (NPI 1063588960), doing business as Bolivar Family Care Center, is a healthcare organization registered as a rural health in Bolivar, Missouri and active in the NPI registry since November 2006. The organization holds a CLIA Waiver certificate valid through November 25, 2026 and lists Renee Marie Meyer, Cfo, as its authorized official.

NPPES Registry Identity

NPI1063588960
Entity TypeOrganization
Primary Taxonomy261QR1300X
Legal Business NameCITIZENS MEMORIAL HEALTHCARE
Location Address1240 N BUTTERFIELD RDBolivar, MO 65613-3016
Mailing Address1240 N Butterfield RdBolivar, MO 65613-3016 · (417) 326-6021 · Fax (417) 326-6347
Phone(417) 326-6021
Fax(417) 326-6347
Organization SubpartYesParent: Citizens Memorial Hospital District
Authorized OfficialRenee Marie MeyerCfo · (417) 328-6258
Enumeration DateNovember 24, 2006
Last NPPES UpdateOctober 21, 2025
NPPES CertifiedOctober 21, 2025
✔ NPI 1063588960 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Rural HealthAmbulatory Health Care Facilities
Taxonomy Code261QR1300X
1240 N BUTTERFIELD RD, Bolivar, MO 65613
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Other Names 1

Doing Business AsBolivar Family Care Center

Other Identifiers 1

Medicaid596054304MO

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arkansas Health & Wellness, Ambetter from Home State Health, Ambetter from Sunflower Health Plan and more.Insurance ›

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 26D1092556

Citizens Memorial Healthcare Homecare Services · Bolivar, MO
Active · expires Nov 25, 2026
CLIA Number26D1092556
Laboratory TypeHome Health Agency
Certificate Effective DateNovember 26, 2024
Certificate Expiration DateNovember 25, 2026
Laboratory DirectorJeffry Tedrow
Laboratory Phone(417) 326-3585
Laboratory LocationCitizens Memorial Healthcare Homecare Services111 W Broadway, Bolivar, MO 65613
CLIA data matches this NPI record on: Name
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

BOLIVAR FAMILY CARE CENTER, LLC
Family Medicine
1240 N BUTTERFIELD RD
BOLIVAR, MO 65613
Polk County (417) 326-6021
KYLA INMAN
Nurse Practitioner (Family)
1240 N BUTTERFIELD RD
BOLIVAR, MO 65613
Polk County (417) 326-6021
ANGEL JOY-MARIE SEUFERT PMHNP-BC
Nurse Practitioner (Psychiatric/Mental Health)
1240 N BUTTERFIELD RD
BOLIVAR, MO 65613
Polk County (417) 326-6021
OLIVIA JENAE CUMLEY FNP
Nurse Practitioner (Family)
1240 N BUTTERFIELD RD
BOLIVAR, MO 65613
Polk County (417) 326-6021
MRS. LAURA C VANCE M.D.
Family Medicine
1240 N BUTTERFIELD RD
BOLIVAR, MO 65613
Polk County (417) 326-6021
BOLIVAR FAMILY CARE CENTER
Clinic/Center (Primary Care)
1240 N BUTTERFIELD RD
BOLIVAR, MO 65613
Polk County (417) 326-6021
DR. KAYLA KITTLE MD
Family Medicine
1240 N BUTTERFIELD RD
BOLIVAR, MO 65613
Polk County (417) 326-6021
NICOLE DAVIS MSW, LCSW
Social Worker
1240 N BUTTERFIELD RD
BOLIVAR, MO 65613
Polk County (417) 326-6021

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Citizens Memorial Healthcare's NPI number?

The NPI number for Citizens Memorial Healthcare is 1063588960. It was assigned to this organization in the NPPES registry on November 24, 2006. The provider is doing business as Bolivar Family Care Center.

Where is Citizens Memorial Healthcare located?

Citizens Memorial Healthcare is located at 1240 N Butterfield Rd, Bolivar, MO 65613. The listed phone number is (417) 326-6021.

What is Citizens Memorial Healthcare's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Rural Health, with taxonomy code 261QR1300X.

Does Citizens Memorial Healthcare hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 26D1092556) is associated with this NPI, valid through November 25, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Citizens Memorial Healthcare accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Arkansas Health & Wellness, Ambetter from Home State Health and Ambetter from Sunflower Health Plan and 3 other insurers list Citizens Memorial Healthcare as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Citizens Memorial Healthcare was last updated on October 21, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.