| Community Hospital Association | |
| 
					100 E Cass St Rock Port MO 64482-1528  | |
| (660) 744-5361 | |
| (660) 744-2247 | 
| Full Name | Community Hospital Association | 
|---|---|
| Speciality | Clinic/Center | 
| Location | 100 E Cass St, Rock Port, Missouri | 
| Authorized Official Name and Position | Jon P Davis (CFO) | 
| Authorized Official Contact | 6606862320 | 
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. | 
| Mailing Address | Practice Location Address | 
|---|---|
| Community Hospital Association 100 E Cass Street Rock Port MO 64482-1528 Ph: (660) 744-5361  | Community Hospital Association 100 E Cass St Rock Port MO 64482-1528 Ph: (660) 744-5361  | 
| NPI Number | 1396741302 | 
|---|---|
| Provider Enumeration Date | 06/23/2005 | 
| Last Update Date | 12/18/2020 | 
| Medicare PECOS PAC ID | 1557316783 | 
|---|---|
| Medicare Enrollment ID | O20190926001338 | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1396741302 | NPI | - | NPPES | 
| 505428102 | Medicaid | MO | |
| 29516017 | Other | MO | BCBS KANSAS CITY MO | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 207Q00000X | Family Medicine | (Missouri) | Secondary | 
| 261QR1300X | Clinic/center - Rural Health | (* (Not Available)) | Primary |