COMMUNITY HOSPITAL ASSOCIATION (NPI# 1538125570) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1538125570 |
Entity Type | Organization |
Organization Name | COMMUNITY HOSPITAL ASSOCIATION |
Practice Address |
26136 Us Highway 59 Fairfax MO 64446-8155 |
Practice Telephone | 6606862211 |
Practice Fax Number | 6606862618 |
Mailing Telephone | 6606862211 |
Mailing Fax Number | 6606862618 |
Enumeration Date | 2006-04-26 |
Last Update Date | 2010-09-08 |
Authorized Official Name | MRS. MYRA EVANS (ADMINISTRATOR) |
Authorized Official Telephone | 6606862211 |
Is Organization Subpart | Y |
Parent Organization Name | COMMUNITY HOSPITAL ASSOCIATION |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 282NC0060X |
General Acute Care Hospital Specialization: Critical Access |
102-48 | MO | Hospitals |
State | Issuer | Identifier | Type Code |
---|---|---|---|
MO | 540492501 | 05 | |
MO | 010492502 | 05 | |
MO | BCBS OF KANSAS CITY | 90060015 | 01 |
MO | BCBS KANSAS CITY | 00594011 | 01 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1255703500 | Community Hospital Association | Clinic/Center | 101 South Washington Street, Oregon, MO 64473 | 2015-10-27 |
1356378459 | Community Hospital Association | Clinic/Center | 406 E 1st St, Trenton, NE 69044-1715 | 2006-06-26 |
1316981764 | Community Hospital Association | Hospice Care, Community Based | 711 E 11th St, Ste A, Mc Cook, NE 69001-3692 | 2006-06-16 |
1336118397 | Community Hospital Association | Home Health | 26136 Us Highway 59, Fairfax, MO 64446-8155 | 2006-03-14 |
1396741302 | Community Hospital Association | Family Medicine | 100 E Cass St, Rock Port, MO 64482-1528 | 2005-06-23 |
1972507523 | Community Hospital Association | Family Medicine | 102 S 6th St, Tarkio, MO 64491-1513 | 2005-06-10 |
1295378354 | Community Hospital Association | Clinic/Center | 309 E Main St, Fairfax, MO 64446-9312 | 2019-10-22 |
1689183881 | Community Hospital Association | Family Medicine | 309 E Main St, Fairfax, MO 64446-9312 | 2017-09-20 |
1740726165 | Community Hospital Association | Clinic/Center | 226 W Main St, Burlington Junction, MO 64428-7249 | 2017-01-09 |
1518174507 | Community Hospital Association | Clinic/Center | 514 State St, Mound City, MO 64470-1145 | 2007-05-17 |
Street Address |
26136 US HIGHWAY 59 |
City | FAIRFAX |
State | MO |
Zip Code | 64446-8155 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1336118397 | Community Hospital Association | Home Health | 26136 Us Highway 59, Fairfax, MO 64446-8155 | 2006-03-14 |
1710530654 | Elizabeth Renshaw | Nurse Practitioner | 26136 Us Highway 59, Fairfax, MO 64446-9105 | 2019-07-19 |
1972061612 | Aaron Dean Glenn | Nurse Practitioner | 26136 Us Highway 59, Fairfax, MO 64446-9105 | 2019-03-12 |
1063928307 | Kelsi Holthus | Occupational Therapist | 26136 Us Highway 59, Fairfax, MO 64446-9105 | 2017-12-22 |
1982016754 | Kelly Osborn | Nurse Anesthetist, Certified Registered | 26136 Us Highway 59, Fairfax, MO 64446-9105 | 2014-05-28 |
1023448164 | Rebecca Heits | Nurse Practitioner | 26136 Us Highway 59, Fairfax, MO 64446-9105 | 2013-11-26 |
1144650938 | Diagnostic Radiology PC Vein Clinic | Radiology | 26136 Us Highway 59, Fairfax, MO 64446-9105 | 2013-11-15 |
1942638705 | Harold Ray Lawrence | Pharmacist | 26136 Us Highway 59, Fairfax, MO 64446-9105 | 2013-10-14 |
1184063224 | Lindsay Williams | Family Medicine | 26136 Us Highway 59, Fairfax, MO 64446-9105 | 2013-06-21 |
1245505585 | Katrina Renee Lock | Nurse Practitioner | 26136 Us Highway 59, Fairfax, MO 64446 | 2012-03-20 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1639204878 | Janet L Hunter | Speech-Language Pathologist | 200 Sixth St., Box 230, Fairfax, MO 64446 | 2007-02-21 |
1811518939 | Bentley Enterprises, LLC | Home Health | 100 East Main, Fairfax, MO 64446 | 2020-04-29 |
1821165325 | Oxy-med, Inc. | Durable Medical Equipment & Medical Supplies | 26146 Us Hwy 59, Fairfax, MO 64446-0237 | 2006-11-29 |
1205254216 | Theresa Lee Crawford | Nurse Practitioner | 26136 Hwy 59, Fairfax, MO 64446-0446 | 2014-04-07 |
1750612271 | Tracy Lynn Oswald | Physical Therapy Assistant | 405 E Main St, Fairfax, MO 64446-8155 | 2010-01-22 |
1699001529 | Karla Mae Worley | Physical Therapy Assistant | 405 E Main St, Fairfax, MO 64446-8155 | 2009-10-28 |
1790975605 | Yolanda Martinez Ackerman | Occupational Therapist | 405 E Main St, Fairfax, MO 64446-8155 | 2007-07-26 |
1144380510 | Allison Godchaux | Nurse Practitioner | 405 E Main St, Fairfax, MO 64446-8155 | 2006-12-08 |
1134275258 | Fairfax R-3 School District | Local Education Agency (LEA) | 500 E Main St, Fairfax, MO 64446-9131 | 2007-01-25 |
1205925518 | David Leon Scarbrough | Dentist | 503 N Broadway St, Fairfax, MO 64446-9226 | 2006-10-12 |
Find all providers in zip 64446 |
Taxonomy Code | 282NC0060X |
Grouping | Hospitals |
Classification | General Acute Care Hospital |
Specialization | Critical Access |
Definition to come. |
Notes: [7/1/2003: new] |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1376554006 | Fairfax Healthcare Properties,llc | General Acute Care Hospital | Hwy 18 & Taft Avenue, Fairfax, OK 74637-0219 | 2006-08-10 |
1609866912 | Allendale County Hospital Board | General Acute Care Hospital | 1787 Allendale Fairfax Hwy, Fairfax, SC 29827-9133 | 2005-10-27 |
1295362564 | Rural Wellness Fairfax Inc | General Acute Care Hospital | 40 Hospital Rd, Fairfax, OK 74637-5084 | 2020-03-25 |
1295834992 | Allendale County Hospital Board | General Acute Care Hospital | 1787 Allendale Fairfax Hwy, Fairfax, SC 29827-9133 | 2006-09-21 |
1942279500 | Community Hospital Association | General Acute Care Hospital | 26136 Us Highway 59, Fairfax, MO 64446-8155 | 2006-03-16 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1356689905 | Southeast Health Center of Reynolds County LLC | General Acute Care Hospital | 100 Hwy 21, Ellington, MO 63638-7943 | 2013-01-16 |
1467789222 | Va Medical Center In St.louis | General Acute Care Hospital | 9830 Eastdell Dr, Saint Louis, MO 63136-1915 | 2009-11-14 |
1750512042 | Vicky Laurine Simbro | General Acute Care Hospital | 4505 Cove Rd, Osage Beach, MO 65065-2307 | 2009-08-04 |
1710177480 | Wisam Hassan Ali Al Badr | General Acute Care Hospital | 3635 Grand Blvd, Saint Louis, MO 63110-2539 | 2007-07-30 |
1619179561 | Saint Louis University Medical Center | General Acute Care Hospital | 1402 S Grand Blvd # M238, Saint Louis, MO 63104-1004 | 2007-06-04 |
1962578609 | Hermann Area Hospital District | General Acute Care Hospital | 509 West 18th St, Hermann, MO 65041 | 2006-11-27 |
1477648178 | Iron County Hospital District | General Acute Care Hospital | 301 N Highway 21, Pilot Knob, MO 63663-0548 | 2006-10-04 |
1023053477 | Mercy St. Francis Hospital | General Acute Care Hospital | 100 West Highway 60, Mountain View, MO 65548 | 2006-06-19 |
1912948308 | Saint Lukes Hospital of Chillicothe | General Acute Care Hospital | 2799 N Washington, Chillicothe, MO 64601-2902 | 2006-06-09 |
1720039605 | Cedar County Memorial Hospital | General Acute Care Hospital | 1401 S Park St, El Dorado Springs, MO 64744-2037 | 2006-05-15 |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.