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

Q: What is the provider's specialty?

The provider's specialty is Clinic/Center with taxonomy code 261QR1300X and a focus in Rural Health.

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: July 19, 2026.

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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.

MRS. MARY LYNN HOGAN M.D.

Family Medicine