CAMERON REGIONAL MEDICAL CENTER INC NPI 1659700813

NPI Information

  • NPI: 1659700813
  • Provider Name: CAMERON REGIONAL MEDICAL CENTER INC
  • Classification: Clinic/Center - 261QR1300X
  • Specialization: Rural Health
  • Entity Type: Organization
  • Doing Business As: EAGLEVILLE MEDICAL CLINIC
  • CLIA Number: 26D2071876
  • Address: 12050 12TH ST
    EAGLEVILLE, MO
    ZIP 64442
  • Phone: (816) 632-2101

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NPI Details

CAMERON REGIONAL MEDICAL CENTER INC is a rural health clinic center in Eagleville, MO. CAMERON REGIONAL MEDICAL CENTER INC NPI is 1659700813. The provider is registered as an organization entity type.
The provider Is Doing Business As Eagleville Medical Clinic.

The provider's business location address is:

12050 12TH ST
EAGLEVILLE, MO
ZIP 64442-158
Phone: (816) 632-2101

The provider's authorized official is Joseph F Abrutz .
The authorized official title is Administrator and has the following contact phone number (816) 649-3203.

The CLIA number assigned to this NPI record is 26D2071876 - rural health clinic with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 11/7/2013 and was last updated on 11/7/2013.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1261QR1300XClinic/CenterRural Health473-11MISSOURIYes

What is NPI?

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This page was last updated on: 3/30/2025

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