Community Hospital-Fairfax

LBN: Community Hospital Association
Community Hospital-Fairfax is an health care organization with primary practice located at 100 E Cass St , Rock Port MO 64482-1528. The organization recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Ambulatory Health Care Facilities / Rural Health. Ambulatory Health Care Facilities / Rural Health is the primary health care specialty. Community Hospital Association can be contacted via phone (660) 744-5361, or through Davis, Jon P via phone (660) 686-2320.

Contact Information

Primary practice address
100 E Cass St Rock Port MO 64482-1528
Phone: (660) 744-5361
Fax: (660) 744-2247
Website:
Map and Directions
Authorized official contact:
Name: Davis, Jon P
Phone: (660) 686-2320

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X Missouri
Ambulatory Health Care Facilities / Rural Health 261QR1300X

Profile Details

NPI number 1396741302
LBN Legal business name Community Hospital Association
DBA Doing business as Community Hospital-Fairfax
Authorized official Davis, Jon P
Entity Organization
Organization subpart 1 No
Enumeration date Jun 23rd, 2005
Last updated Dec 18th, 2020 - about 5 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1396741302 NPPES
Missouri MEDICAID 505428102
Missouri Other 29516017

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