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
—
—
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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