| 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 |