{"npi":"1063588960","type":"NPI-2","status":"active","name":{"display":"Citizens Memorial Healthcare","other":[],"organization_name":"CITIZENS MEMORIAL HEALTHCARE","authorised_official":"Renee Meyer"},"specialty":{"primary_taxonomy":"261QR1300X","primary_taxonomy_description":"Rural Health Clinic/Center","slug":"rural-health-clinic-center","schema_org_specialty":null,"all":[{"code":"261QR1300X","description":"Rural Health Clinic/Center","primary":true,"state":null,"license":null}]},"addresses":[{"purpose":"LOCATION","street_1":"1240 N BUTTERFIELD RD","city":"BOLIVAR","state":"MO","postal_code":"656133016","country_code":"US","phone":"4173266021","fax":"4173266347"},{"purpose":"MAILING","street_1":"1240 N BUTTERFIELD RD","city":"BOLIVAR","state":"MO","postal_code":"656133016","country_code":"US","phone":"4173266021","fax":"4173266347"}],"license":null,"identifiers":[{"type_code":"05","label":"Medicaid","value":"596054304","state":"MO","issuer":null}],"pecos":{"enrolled_at":"2026-05-09T10:41:39.028268+00:00","enrollments":[{"enrlmt_id":"O20131115001582","type_code":"00-17","type_desc":"PART A PROVIDER - RURAL HEALTH CLINIC","state":"MO","pac_id":"4183528169"}]},"enumeration_date":"2006-11-24","last_updated":"2025-10-21","_meta":{"source":"NPPES","snapshot_date":"2025-10-21","doc_url":"https://findmynpi.com/api"}}