COMMUNITY HOSPITAL-FAIRFAX
NPI 1396741302
Clinic/Center - Rural Health in Rock Port, MO
About Community Hospital-fairfax NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
COMMUNITY HOSPITAL-FAIRFAX (NPI 1396741302) is a healthcare organization registered as a rural health in Rock Port, Missouri and active in the NPI registry since June 2005. The organization lists Jon P Davis, Cfo, as its authorized official.
NPPES Registry Identity
Specialties & Licenses 2
Other Names 2
Other Identifiers 2
Group Practice 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Community Hospital-fairfax is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
7Medicare enrollment records show 7 clinicians reassign Medicare billing to Community Hospital-Fairfax, which bills Medicare for the services they deliver. Of these, 2 practice at this address and 5 within 10 miles. They are listed nearest first.
Clinicians, nearest first (7)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Community Hospital Association's NPI number?
The NPI number for Community Hospital Association is 1396741302. It was assigned to this organization in the NPPES registry on June 23, 2005. The provider is doing business as Community Hospital-Fairfax and Rock Port Family Medicine.
Where is Community Hospital Association located?
Community Hospital Association is located at 100 E Cass St, Rock Port, MO 64482. The listed phone number is (660) 744-5361.
What is Community Hospital Association's specialty?
The primary specialty registered for this NPI is Clinic/Center, specializing in Rural Health, with taxonomy code 261QR1300X.
Is Community Hospital Association enrolled in Medicare?
Yes. Community Hospital Association is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Community Hospital Association?
According to the CMS Revalidation Reassignment List (October 2026 release), 7 clinicians in 3 Medicare specialties reassign their Medicare billing to Community Hospital Association. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. The largest specialties are Family Practice (3), Nurse Practitioner (3) and Urology (1). Of these, 2 practice at this address and 5 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
What insurance does Community Hospital Association accept?
Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Arkansas Health & Wellness, Ambetter from Sunflower Health Plan and Ambetter of Oklahoma and 3 other insurers list Community Hospital Association as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
When was this NPI record last updated?
The NPPES record for Community Hospital Association was last updated on December 18, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Community Hospital-Fairfax · NPI 1396741302
Rural Health organization in Rock Port, Missouri. Organization record, active in the CMS NPPES registry since June 23, 2005.
## Identity
- **NPI:** 1396741302 (Entity type: Organization)
- **Enumerated:** June 23, 2005
- **Primary specialty:** Clinic/Center - Rural Health · taxonomy 261QR1300X
- **Legal business name:** Community Hospital Association
- **Also known as:** Rock Port Family Medicine (Doing Business As)
- **Organization subpart:** No
- **Authorized official:** Jon Davis, CFO
## Practice location
- **Address:** 100 E CASS ST, Rock Port, MO 64482-1528
- **Phone:** (660) 744-5361 · **Fax:** (660) 744-2247
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 7 clinicians in 3 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Family Practice (3), Nurse Practitioner (3), Urology (1); 2 practice at this address and 5 within 10 miles · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** December 18, 2020
- **Other identifiers:** Medicaid 505428102 (MO); Other 29516017 (MO)
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Source: [NPI Profile](https://npiprofile.com/npi/1396741302) · Data from the CMS NPPES public registry.