Organization · Type 2 NPI

Community Hospital Association

Rural Health Clinic/Center · Tarkio, MO

NPI number 1972507523 Active

Practice location

102 S 6th St
Tarkio, MO 64491-1513

Call (660) 736-4193 Map

Fax (660) 736-4966

Mailing address

102 S 6th Street
Tarkio, MO 64491-1513

Specialties and licenses

Taxonomy	Code	License
Family Medicine Physician	207Q00000X	None listed
Rural Health Clinic/Center Primary	261QR1300X	None listed

Rural Health Clinic/Center: Definition to come...

NPI record

NPI: 1972507523
Entity type: Organization (Type 2)
Issued: Jun 10, 2005
Last updated: Oct 21, 2019
Status: Active

Other names

<unavail>
Community Hospital-Fairfax · doing business as
Community Hospital-Fairfax · doing business as
Tarkio Family Medicine · doing business as

Authorized official

Jon P Davis
CFO
(660) 686-2320

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About NPI 1972507523

Community Hospital Association's National Provider Identifier is 1972507523, issued on Jun 10, 2005. The primary taxonomy on file is Rural Health Clinic/Center (261QR1300X), and the practice location is in Tarkio, MO. The record was last updated on Oct 21, 2019.