Community Hospital-Fairfax

LBN: Community Hospital Association
Community Hospital-Fairfax is an health care organization with primary practice located at 102 S 6Th St , Tarkio MO 64491-1513. 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) 736-4193, or through Davis, Jon P via phone (660) 686-2320.

Contact Information

Primary practice address
102 S 6Th St Tarkio MO 64491-1513
Phone: (660) 736-4193
Fax: (660) 736-4966
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 1972507523
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 10th, 2005
Last updated Oct 21st, 2019 - about 6 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 1972507523 NPPES
Missouri Other 27443017 BCBS KANSAS CITY MO
Missouri MEDICAID 505180802 BCBS KANSAS CITY MO

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