| Community Hospital Association | |
|
514 State St Mound City MO 64470-1145 | |
| (660) 442-3181 | |
| (660) 686-2618 |
| Full Name | Community Hospital Association |
|---|---|
| Speciality | Clinic/Center |
| Location | 514 State St, Mound City, Missouri |
| Authorized Official Name and Position | Julie Jones (CEO) |
| Authorized Official Contact | 6606862321 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Community Hospital Association 26136 Us Highway 59 Fairfax MO 64446-9105 Ph: (660) 686-2328 | Community Hospital Association 514 State St Mound City MO 64470-1145 Ph: (660) 442-3181 |
| NPI Number | 1518174507 |
|---|---|
| Provider Enumeration Date | 05/17/2007 |
| Last Update Date | 10/21/2019 |
| Medicare PECOS PAC ID | 1557316783 |
|---|---|
| Medicare Enrollment ID | O20170411001889 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1518174507 | NPI | - | NPPES |
| 201280609 | Medicaid | MO | |
| 08481-016 | Other | MO | BLUE CROSS GROUP NUMBER |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QR1300X | Clinic/center - Rural Health | (* (Not Available)) | Primary |
Mound City Medical Clinc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1303 State Street, Mound City, MO 64470 Phone: 660-442-5464 Fax: 660-442-5927 |