COMMUNITY HOSPITAL ASSOCIATION (NPI# 1689183881) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1689183881 |
| Entity Type | Organization |
| Organization Name | COMMUNITY HOSPITAL ASSOCIATION |
| Other Organization Name | FAIRFAX FAMILY MEDICINE |
| Practice Address |
309 E Main St Fairfax MO 64446-9312 |
| Mailing Address |
26136 Us Highway 59 Fairfax MO 64446-9105 |
| Practice Telephone | 6606860263 |
| Practice Fax Number | 6606860262 |
| Mailing Telephone | 6606862211 |
| Mailing Fax Number | 6606862618 |
| Enumeration Date | 2017-09-20 |
| Last Update Date | 2019-10-22 |
| Authorized Official Name | JON P DAVIS (CFO) |
| Authorized Official Telephone | 6606862320 |
| Is Organization Subpart | Y |
| Parent Organization Name | COMMUNITY HOSPITAL ASSOCIATION |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207Q00000X | Family Medicine | Allopathic & Osteopathic Physicians | ||
| Y | 261QR1300X |
Clinic/Center Specialization: Rural Health |
Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| Fairfax Family Medicine | Doing Business As Name - Organization |
| 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 |
| 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 |
| 1588771158 | Community Hospital Association | Dietitian, Registered | 1301 E H St, Mc Cook, NE 69001-3482 | 2006-08-23 |
| Street Address |
309 E MAIN ST |
| City | FAIRFAX |
| State | MO |
| Zip Code | 64446-9312 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295378354 | Community Hospital Association | Clinic/Center | 309 E Main St, Fairfax, MO 64446-9312 | 2019-10-22 |
| 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 |
| 1245505585 | Katrina Renee Lock | Nurse Practitioner | 26136 Us Highway 59, Fairfax, MO 64446 | 2012-03-20 |
| 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 |
| 1336118397 | Community Hospital Association | Home Health | 26136 Us Highway 59, Fairfax, MO 64446-8155 | 2006-03-14 |
| 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 |
| 1245566314 | Melissa Sue Masonbrink | Nurse Practitioner | 26136 Us Highway 59, Fairfax, MO 64446-8155 | 2009-10-26 |
| 1790975605 | Yolanda Martinez Ackerman | Occupational Therapist | 405 E Main St, Fairfax, MO 64446-8155 | 2007-07-26 |
| Find all providers in zip 64446 | ||||
| Taxonomy Code | 261QR1300X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Rural Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144370503 | Allendale County Hospital Board | Clinic/Center | 1787 Allendale Fairfax Highway, Fairfax, SC 29827 | 2007-01-10 |
| 1790314466 | Rural Wellness Fairfax Inc | Clinic/Center | 40 Hospital Rd, Fairfax, OK 74637-5084 | 2020-04-05 |
| 1306145339 | Cah Acquisition Company 12 LLC | Clinic/Center | 40 Hospital Rd, Fairfax, OK 74637 | 2011-03-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871102137 | Washington County Memorial Hospital | Clinic/Center | 14206 Hwy C, Belgrade, MO 63622 | 2020-07-23 |
| 1891325072 | Scotland County Memorial Hospital | Clinic/Center | 55682 State Highway 6 Ste A, Edina, MO 63537-4268 | 2020-01-16 |
| 1639736457 | Southeast Health Center of Stoddard County LLC | Clinic/Center | 800 Us Highway 61, New Madrid, MO 63869-1106 | 2019-05-28 |
| 1134633456 | Pike County Memorial Hospital | Clinic/Center | 1420 S Business 61 Unit Fde, Bowling Green, MO 63334-5230 | 2017-11-22 |
| 1720505894 | Perry County Health System | Clinic/Center | 210 Hospital Ln Ste 202, Perryville, MO 63775-4200 | 2017-08-29 |
| 1427572007 | Missouri Delta Medical Center | Clinic/Center | 209 W Yoakum Ave, Chaffee, MO 63740-1138 | 2017-07-26 |
| 1790213676 | Jackson Primary Care LLC | Clinic/Center | 2685 E Main St Ste A, Jackson, MO 63755-2474 | 2017-05-23 |
| 1972050581 | Sgoh Acquisition, Inc. | Clinic/Center | 912b State Highway 59, Goodman, MO 64843-8252 | 2016-09-01 |
| 1144605312 | Nevada City Hospital | Clinic/Center | 627 S Ash St Ste B, Nevada, MO 64772 | 2015-07-29 |
| 1669856829 | Ssm Regional Health Services | Clinic/Center | 2511 W Edgewood Dr Ste F, Jefferson City, MO 65109-5869 | 2015-07-16 |
| Find all providers with the same taxonomy | ||||
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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.