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Organization
COMMUNITY HEALTH CARE ASSOCIATES, INC
Active
Organization
COMMUNITY HEALTH CARE ASSOCIATES, INC
Active
Other names
Beyer Medical Group
Organization subpart
No
Provider details
NPI number
Authorized official
FERNANDO BORREGO (ADMINISTRATOR)
(573) 783-8875
Entity
Organization
Contact information
Practice address
735 W MAIN ST, FREDERICKTOWN, MO 63645-1113
(573) 747-9703
(573) 783-8890
Mailing address
735 W MAIN ST, FREDERICKTOWN, MO 63645-1113
(573) 747-9703
(573) 783-8890
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
NULL
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
500948203
—
MO
Enumeration date
10/22/2018
Last updated
02/25/2020
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