OrganizationActive
Citizens Memorial Healthcare
NPI 1407141153 · Rural Health Clinic/Center · Bolivar, MO
Provider details
- NPI number
- 1407141153
- Entity type
- Organization
- Primary specialty
- Rural Health Clinic/CenterAmbulatory Health Care Facilities
- Parent organization
- Citizens Memorial Hospital District
- Organization subpart
- Yes
- Authorized official
- Renee Meyer, Cfo(417) 328-6258
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
Detailed profile(81/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
15 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
1120 S Springfield Ave
Bolivar, MO 65613-2512
Phone: (417) 326-6000
Fax: (417) 326-4059
Street-level locationGet directions
Mailing address
1500 N Oakland Ave
Bolivar, MO 65613-3011
Other names (DBA / former)
- Doing business as
- Southside Medical Center
Registry dates
- Enumerated
- 2011-06-10
- Last updated
- 2025-10-21
- Certified
- 2025-10-21
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.