Organization
COMMUNITY HOSPITAL ASSOCIATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JULIE JONES (CEO)
(660) 686-2321
Entity
Organization
Contact information
Practice address
514 STATE ST, MOUND CITY, MO 64470-1145
(660) 442-3181
(660) 686-2618
Mailing address
26136 US HIGHWAY 59, FAIRFAX, MO 64446-9105
(660) 686-2328
(660) 686-2618
Taxonomy
Speciality
Code
Description
License number
State
261QR1300X
Rural Health Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
08481-016
BLUE CROSS GROUP NUMBER
MO
05
—
201280609
—
MO
Enumeration date
05/17/2007
Last updated
10/21/2019
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