Organization
CBCH LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
WILLIAM MAHONEY (SENIOR VP CHG)
(417) 335-7270
Entity
Organization
Contact information
Practice address
29 NW 1ST LN, LAMAR, MO 64759-8105
(417) 681-5100
(417) 681-5510
Mailing address
1423 N JEFFERSON AVE, SPRINGFIELD, MO 65802-1917
(417) 269-3021
Taxonomy
Speciality
Code
Description
License number
State
282NC0060X
Critical Access Hospital
Primary
—
—
Other
Enumeration date
03/19/2018
Last updated
03/19/2018
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