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CAH261303-00 Community Hospital Association (Active)
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Main Details
Name
Community Hospital Association
Subdivision Name
Type
Critical Access Hospital
Rural
Yes
340B ID
CAH261303-00
Medicare Provider Number
261303
Additional Details
Current Program Status
Active
Registration Date
1/9/2013
Participating Start Date
4/1/2013
Participating Approval Date
2/12/2013
Last Recertification Date
8/20/2024
Contacts
Authorizing Official
Community Hospital Association
Julie L Jones, CEO
(660) 247-0110
Primary Contact
Community Hospital Assoc
Jon Davis, CFO
(660) 686-2320
Addresses
Street Address
26136 US HWY 59 NORTH
FAIRFAX, MO 64446
Billing Address
Same as Street Address
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
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