Citizens Memorial Health Care Foundation
NPI 1124157169ActiveOrganization· Hospice Care, Community Based· Bolivar, MO
Hospice Care, Community Based in Bolivar, Missouri, registered in NPPES in March 2007. The authorized official on file is Gary D. Fulbright, Executive Director. Enrolled in Medicare as part a provider - hospice.
Overview
| NPI | 1124157169 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Mar 5, 2007 |
| Last updated in NPPES | Feb 18, 2020 |
| Certified by provider | Feb 18, 2020 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Hospice Care, Community Based Primary | 251G00000X | 003-10H0 | MO |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part A Provider - Hospice (MO) |
|---|
Other hospice agencies in Bolivar
- 1174699003