Provider Demographics
NPI:1023465929
Name:CHARITON HEALTH SYSTEMS INC
Entity type:Organization
Organization Name:CHARITON HEALTH SYSTEMS INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:GREG
Authorized Official - Middle Name:L
Authorized Official - Last Name:SPEISER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:660-338-9965
Mailing Address - Street 1:1008 RANDOLPH ST
Mailing Address - Street 2:
Mailing Address - City:GLASGOW
Mailing Address - State:MO
Mailing Address - Zip Code:65254-1269
Mailing Address - Country:US
Mailing Address - Phone:660-338-9965
Mailing Address - Fax:660-338-2777
Practice Address - Street 1:1445 W COLLEGE ST STE A
Practice Address - Street 2:
Practice Address - City:MARSHALL
Practice Address - State:MO
Practice Address - Zip Code:65340-2944
Practice Address - Country:US
Practice Address - Phone:660-886-8837
Practice Address - Fax:660-886-8858
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-05-20
Last Update Date:2023-11-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO1624726332BX2000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332BX2000XSuppliersDurable Medical Equipment & Medical SuppliesOxygen Equipment & Supplies