# COMMUNITY HEALTH CARE ASSOCIATES, INC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Beyer Medical Group
- **Organization subpart:** No

## Provider details

- **NPI number:** 1134695703
- **Authorized official:** FERNANDO BORREGO (ADMINISTRATOR)
- **Authorized official phone:** (573) 783-8875

## Contact information

- **Practice address:** 735 W MAIN ST, FREDERICKTOWN, MO 63645-1113
- **Practice address phone:** (573) 747-9703
- **Practice address fax:** (573) 783-8890
- **Mailing address:** 735 W MAIN ST, FREDERICKTOWN, MO 63645-1113
- **Mailing address phone:** (573) 747-9703
- **Mailing address fax:** (573) 783-8890

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | — | NULL | Yes |
| 207Q00000X | Family Medicine Physician | — | — | Yes |

## Other

- **Enumeration date:** 10/22/2018
- **Last updated:** 02/25/2020

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 500948203 | — | MO |