Organization
COMMUNITY HOSPITAL ASSOCIATION
Active
Parent organization
COMMUNITY HOSPITAL ASSOCIATION
Other names
COMMUNITY HOSPITAL HOME HEALTH AGENCY
Organization subpart
Yes
Provider details
NPI number
Legal business name
COMMUNITY HOSPITAL ASSOCIATION
Authorized official
MRS. MYRA EVANS (ADMINISTRATOR)
(660) 686-2211
Entity
Organization
Contact information
Practice address
26136 US HIGHWAY 59, FAIRFAX, MO 64446-8155
(660) 686-2211
(660) 686-2618
Mailing address
26136 US HIGHWAY 59, P.O. BOX 107, FAIRFAX, MO 64446-9105
(660) 686-2211
(660) 686-2799
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
345-13
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
580492502
—
MO
01
—
90307018
BCBS OF KANSAS CITY
MO
Enumeration date
03/14/2006
Last updated
03/07/2014
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