# COMMUNITY HOSPITAL ASSOCIATION

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Fairfax Family Medicine
- **Organization subpart:** No

## Provider details

- **NPI number:** 1295378354
- **Authorized official:** JULIE JONES (CEO)
- **Authorized official phone:** (660) 686-2211

## Contact information

- **Practice address:** 309 E MAIN ST, FAIRFAX, MO 64446-9312
- **Practice address phone:** (660) 686-0263
- **Mailing address:** 26136 US HIGHWAY 59, FAIRFAX, MO 64446-9105
- **Mailing address phone:** (660) 686-2211

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261Q00000X | Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 10/22/2019
- **Last updated:** 10/22/2019