Organization
COMMUNITY HEALTH CARE ASSOCIATES, INC
Active
Other names
dba 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 WEST MAIN, FREDERICKTOWN, MO 63645
(573) 783-8875
Mailing address
735 WEST MAIN, FREDERICKTOWN, MO 63645
(573) 783-8875
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
2005039259
MO
207Q00000X
Family Medicine Physician
—
—
207R00000X
Internal Medicine Physician
2010023551
MO
208000000X
Pediatrics Physician
—
—
208D00000X
General Practice Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
500948203
—
MO
05
—
597560408
—
MO
Enumeration date
05/18/2007
Last updated
02/25/2020
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