# COMMUNITY HOSPITAL ASSOCIATION

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Tarkio Family Medicine, Community Hospital-Fairfax
- **Organization subpart:** No

## Provider details

- **NPI number:** 1972507523
- **Authorized official:** JON P DAVIS (CFO)
- **Authorized official phone:** (660) 686-2320

## Contact information

- **Practice address:** 102 S 6TH ST, TARKIO, MO 64491-1513
- **Practice address phone:** (660) 736-4193
- **Practice address fax:** (660) 736-4966
- **Mailing address:** 102 S 6TH STREET, TARKIO, MO 64491-1513
- **Mailing address phone:** (660) 736-4193
- **Mailing address fax:** (660) 736-4966

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | — | MO | — |
| 261QR1300X | Rural Health Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 06/10/2005
- **Last updated:** 10/21/2019