Organization
COMMUNITY HOSPITAL ASSOCIATION
Active
Parent organization
COMMUNITY HOSPITAL ASSOCIATION
Other names
Fairfax Family Medicine
Organization subpart
Yes
Provider details
NPI number
Legal business name
COMMUNITY HOSPITAL ASSOCIATION
Authorized official
JON P DAVIS (CFO)
(660) 686-2320
Entity
Organization
Contact information
Practice address
309 E MAIN ST, FAIRFAX, MO 64446-9312
(660) 686-0263
(660) 686-0262
Mailing address
26136 US HIGHWAY 59, FAIRFAX, MO 64446-9105
(660) 686-2211
(660) 686-2618
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
—
—
261QR1300X
Rural Health Clinic/Center
Primary
—
—
Other
Enumeration date
09/20/2017
Last updated
10/22/2019
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