Organization
COMMUNITY HOSPITAL ASSOCIATION
Active
Other names
Fairfax Family Medicine
Organization subpart
No
Provider details
NPI number
Authorized official
JULIE JONES (CEO)
(660) 686-2211
Entity
Organization
Contact information
Practice address
309 E MAIN ST, FAIRFAX, MO 64446-9312
(660) 686-0263
Mailing address
26136 US HIGHWAY 59, FAIRFAX, MO 64446-9105
(660) 686-2211
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
—
—
Other
Enumeration date
10/22/2019
Last updated
10/22/2019
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