PARKVIEW ORTHOPAEDIC CLINIC – NPI #1235395765
Durable Medical Equipment & Medical Supplies

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.

PARKVIEW ORTHOPAEDIC CLINIC is a DME supplier located in BOLIVAR, MO. NPPES has assigned the NPI number 1235395765 to PARKVIEW ORTHOPAEDIC CLINIC on August 04, 2008. It is a Type-2 NPI, indicating this NPI number is associated with an organization. Since the name “PARKVIEW ORTHOPAEDIC CLINIC” is a dba name, the actual legal business name for this organization is CITIZENS MEMORIAL HEALTHCARE CLINICS. The primary taxonomy selected by this provider is 332B00000X from the Health Care Provider Taxonomy code set, which is classified as Durable Medical Equipment & Medical Supplies.

The NPI profile was previously updated about 18 years ago on Dec 01, 2008. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for PARKVIEW ORTHOPAEDIC CLINIC below.

NPI Profile for
CITIZENS MEMORIAL HEALTHCARE CLINICS

NPI Number
1235395765
Enumeration Date

(about 18 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
CITIZENS MEMORIAL HEALTHCARE CLINICS
Doing Business As (dba): PARKVIEW ORTHOPAEDIC CLINIC
Primary location
1155 W PARKVIEW ST
SUITE 2D
BOLIVAR, MO 65613-8279
Phone: (417) 777-2663 Fax: (417) 777-2666
Mailing address
PO BOX 939
BOLIVAR, MO 65613-0939
Phone: (417) 777-6911 Fax: (417) 326-6936
Organization Subpart
No
Authorized Official
BRENDA SHEPHERD
PROVIDER APPLICATION SPECIALIST
Phone: (417) 328-7705
Updated
Identifiers

Identifiers for PARKVIEW ORTHOPAEDIC CLINIC

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
MEDICAIDMO626364806
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
332B00000X
- Durable Medical Equipment & Medical Supplies (Primary)
MO 313-25

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.