National Provider Identifier Database

COMMUNITY HEALTH CARE ASSOCIATES INC
General Practice

A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions.


Contact Information

COMMUNITY HEALTH CARE ASSOCIATES, INC
735 WEST MAIN
FREDERICKTOWN, MO63645
Phone: 573-783-8875
Fax:
Website:
Specialty Taxonomy Code
* General Practice 208D00000X
Clinical 1041C0700X
Family Medicine 207Q00000X
Internal Medicine 207R00000X
Pediatrics 208000000X

* Indicates primary specialty

NPI Profile & details for COMMUNITY HEALTH CARE ASSOCIATES, INC

NPI Number 1629286976
Legal business name
LBN
COMMUNITY HEALTH CARE ASSOCIATES, INC
Authorized official FERNANDO BORREGO - (ADMINISTRATOR)
Entity Organization
Organization subpart No
Enumeration date 05/18/2007
Last updated 02/25/2020 - About 6 years ago
Sole proprietor1 Not specified
Identifiers
  • MO License #: 2005039259
  • MO License #: 2010023551
  • MO Medicaid: 500948203
  • MO Medicaid: 597560408

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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