COMMUNITY HEALTH CARE ASSOCIATES, INC; NPI #1629286976

Contact Information

COMMUNITY HEALTH CARE ASSOCIATES, INC

735 WEST MAIN
FREDERICKTOWN, MO 63645

Phone: 573-783-8875
Fax:
Website:

Specialty	Taxonomy Code	Specialty Code	Provider Type
General Practice	208D00000X	99	Physician/Undefined Physician type[6]
Clinical	1041C0700X	80	Licensed Clinical Social Worker
Family Medicine	207Q00000X	08	Physician/Family Practice
Internal Medicine	207R00000X	11	Physician/Internal Medicine
Pediatrics	208000000X	37	Physician/Pediatric Medicine

Indicates primary specialty

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NPI Profile & details for COMMUNITY HEALTH CARE ASSOCIATES, INC

NPI # 1629286976

LBN Legal business name COMMUNITY HEALTH CARE ASSOCIATES, INC

Authorized official FERNANDO BORREGO - (ADMINISTRATOR)

Entity Organization

Organization subpart ¹ No

Enumeration date 05/18/2007

Last updated 02/25/2020 - About 6 years ago

Identifiers

MO	License #	2005039259
MO	License #	2010023551
MO	Medicaid	500948203
MO	Medicaid	597560408

¹ Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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COMMUNITY HEALTH CARE ASSOCIATES, INC

Contact Information

Specialty

General Practice

Clinical

Family Medicine

Internal Medicine

Pediatrics

NPI Profile & details for COMMUNITY HEALTH CARE ASSOCIATES, INC

Reviews for COMMUNITY HEALTH CARE ASSOCIATES, INC