COMMUNITY HOSPITAL ASSOCIATION (NPI# 1972507523) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1972507523 |
| Entity Type | Organization |
| Organization Name | COMMUNITY HOSPITAL ASSOCIATION |
| Other Organization Name | COMMUNITY HOSPITAL-FAIRFAX |
| Practice Address |
102 S 6th St Tarkio MO 64491-1513 |
| Mailing Address |
102 S 6th Street Tarkio MO 64491-1513 |
| Practice Telephone | 6607364193 |
| Practice Fax Number | 6607364966 |
| Mailing Telephone | 6607364193 |
| Mailing Fax Number | 6607364966 |
| Enumeration Date | 2005-06-10 |
| Last Update Date | 2019-10-21 |
| Authorized Official Name | JON P DAVIS (CFO) |
| Authorized Official Telephone | 6606862320 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207Q00000X | Family Medicine | MO | Allopathic & Osteopathic Physicians | |
| Y | 261QR1300X |
Clinic/Center Specialization: Rural Health |
Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MO | 505180802 | 05 | |
| MO | BCBS KANSAS CITY MO | 27443017 | 01 |
| Other Name | Type Code |
|---|---|
| Community Hospital-Fairfax | Doing Business As Name - Organization |
| Tarkio 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 |
| 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 |
| 1588771158 | Community Hospital Association | Dietitian, Registered | 1301 E H St, Mc Cook, NE 69001-3482 | 2006-08-23 |
| Street Address |
102 S 6TH ST |
| City | TARKIO |
| State | MO |
| Zip Code | 64491-1513 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669597712 | Atchison-holt Ambulance District | Emergency Medical Technician, Paramedic | 303 South 3rd Street, Tarkio, MO 64491 | 2007-03-20 |
| 1023206703 | Lisa Diane England | Occupational Therapy Assistant | 402 Poplar St, Tarkio, MO 64491-1138 | 2007-10-09 |
| 1659901411 | Glenn Robert Scott Jr. | Counselor | 311 Spruce St, Tarkio, MO 64491-1142 | 2020-01-21 |
| 1518912732 | Five Star Quality Care Mo LLC | Skilled Nursing Facility | 300 Cedar St, Tarkio, MO 64491-1174 | 2006-05-24 |
| 1376176552 | Tarkio Hco, LLC | Skilled Nursing Facility | 300 Cedar St, Tarkio, MO 64491-1174 | 2020-02-17 |
| 1023589173 | Phebe Wright | Physical Therapist | 300 Cedar St, Tarkio, MO 64491-1174 | 2018-12-16 |
| 1407173321 | Jill Denise Eberhardt | Speech-Language Pathologist | 300 Cedar St, Tarkio, MO 64491-1174 | 2010-05-02 |
| 1114253127 | Tarkio Hco, LLC | Skilled Nursing Facility | 300 Cedar St, Tarkio, MO 64491-1174 | 2009-10-26 |
| 1174764419 | Theresa Lynn Larson | Speech-Language Pathologist | 300 Cedar St, Tarkio, MO 64491-1174 | 2009-03-17 |
| 1245376524 | Northwest Missouri Learning Center, Inc. | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 412 N 7th St, Tarkio, MO 64491-1202 | 2007-01-30 |
| Find all providers in zip 64491 | ||||
| Taxonomy Code | 261QR1300X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Rural Health |
| Definition to come... |
| 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 | ||||
Please comment or provide details below to improve the information on COMMUNITY HOSPITAL ASSOCIATION.
| 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.