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CMH FOOT & ANKLE CLINIC
NPI 1972769404
Durable Medical Equipment & Medical Supplies in Bolivar, MO

Active since August 04, 2008
1630 KILLINGSWORTH AVE, BOLIVAR, MO 65613(417) 326-6200(417) 777-7463 Get Directions Write a Review

NPPES record last updated: August 4, 2008. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Cmh Foot & Ankle Clinic NPPES

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

CMH FOOT & ANKLE CLINIC (NPI 1972769404) is a healthcare organization registered as a durable medical equipment & medical supplies in Bolivar, Missouri and active in the NPI registry since August 2008. The organization lists Brenda K Shepherd, Provider Application Specialist, as its authorized official.

NPPES Registry Identity

NPI1972769404
Entity TypeOrganization
Primary Taxonomy332B00000X
Legal Business NameCITIZENS MEMORIAL HEALTHCARE CLINICS
Location Address1630 KILLINGSWORTH AVEBolivar, MO 65613-2282
Mailing AddressPo Box 939Bolivar, MO 65613-0939 · (417) 777-6911 · Fax (417) 326-6936
Phone(417) 326-6200
Fax(417) 777-7463
Organization SubpartNo
Authorized OfficialBrenda K ShepherdProvider Application Specialist · (417) 328-7705
Enumeration DateAugust 4, 2008
✔ NPI 1972769404 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDurable Medical Equipment & Medical SuppliesSuppliers
Taxonomy Code332B00000X
License✔ Licensed in MO · 313-25
Definition
A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient's use in the home and that are usable for an extended period of time.
1630 KILLINGSWORTH AVE, Bolivar, MO 65613
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Other Names 1

Doing Business AsCmh Foot & Ankle Clinic

Other Identifiers 1

Medicaid626365001MO

Other Providers at the Same Location NPPES 3

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

DR. ROY W SHELTON MD
Technician/Technologist (Ophthalmic)
1630 KILLINGSWORTH AVE, SUITE 2-A
BOLIVAR, MO 65613
Polk County (417) 777-2222
BOLIVAR EYE SPECIALTY CENTER
Clinic/Center (Medical Specialty)
1630 KILLINGSWORTH AVE, SUITE 2B
BOLIVAR, MO 65613
Polk County (417) 777-2222
CMH FOOT AND ANKLE CLINIC
Podiatrist
1630 KILLINGSWORTH AVE, SUITE 2A
BOLIVAR, MO 65613
Polk County (417) 326-6200

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 Clinics's NPI number?

The NPI number for Citizens Memorial Healthcare Clinics is 1972769404. It was assigned to this organization in the NPPES registry on August 4, 2008. The provider is doing business as Cmh Foot & Ankle Clinic.

Where is Citizens Memorial Healthcare Clinics located?

Citizens Memorial Healthcare Clinics is located at 1630 Killingsworth Ave, Bolivar, MO 65613. The listed phone number is (417) 326-6200.

What is Citizens Memorial Healthcare Clinics's specialty?

The primary specialty registered for this NPI is Durable Medical Equipment & Medical Supplies with taxonomy code 332B00000X.

When was this NPI record last updated?

The NPPES record for Citizens Memorial Healthcare Clinics was last updated on August 4, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 years 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.