| Community Hospital Association | |
|
102 S 6th St Tarkio MO 64491-1513 | |
| (660) 736-4193 | |
| (660) 736-4966 |
| Full Name | Community Hospital Association |
|---|---|
| Speciality | Clinic/Center |
| Location | 102 S 6th St, Tarkio, 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 102 S 6th Street Tarkio MO 64491-1513 Ph: (660) 736-4193 | Community Hospital Association 102 S 6th St Tarkio MO 64491-1513 Ph: (660) 736-4193 |
| NPI Number | 1972507523 |
|---|---|
| Provider Enumeration Date | 06/10/2005 |
| Last Update Date | 10/21/2019 |
| Medicare PECOS PAC ID | 1557316783 |
|---|---|
| Medicare Enrollment ID | O20190506000754 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1972507523 | NPI | - | NPPES |
| 27443017 | Other | MO | BCBS KANSAS CITY MO |
| 505180802 | Medicaid | MO |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (Missouri) | Secondary |
| 261QR1300X | Clinic/center - Rural Health | (* (Not Available)) | Primary |