Provider Demographics
NPI:1083858633
Name:CHARITON HEALTH SYSTEMS INC
Entity Type:Organization
Organization Name:CHARITON HEALTH SYSTEMS INC
Other - Org Name:COMMUNITY MEDICAL EQUIPMENT
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CEO/OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:GREG
Authorized Official - Middle Name:
Authorized Official - Last Name:SPEISER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:660-338-9965
Mailing Address - Street 1:PO BOX 51
Mailing Address - Street 2:101 SOUTH WEBER
Mailing Address - City:SALISBURY
Mailing Address - State:MO
Mailing Address - Zip Code:65281-0051
Mailing Address - Country:US
Mailing Address - Phone:660-388-6308
Mailing Address - Fax:660-388-6042
Practice Address - Street 1:2539 MAIN ST
Practice Address - Street 2:
Practice Address - City:BOONVILLE
Practice Address - State:MO
Practice Address - Zip Code:65233-3481
Practice Address - Country:US
Practice Address - Phone:660-882-9270
Practice Address - Fax:660-882-9277
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:CHARITON HEALTH SYSTEMS INC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2009-04-27
Last Update Date:2019-11-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO16242726332B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
MO628648305Medicaid
MO1140370004Medicare NSC