COMMUNITY HOSPITAL-FAIRFAX
NPI 1972507523
Clinic/Center - Rural Health in Tarkio, MO

Active since June 10, 2005
102 S 6TH ST, TARKIO, MO 64491(660) 736-4193(660) 736-4966 Get Directions Write a Review

NPPES record last updated: October 21, 2019. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Oct 21, 2019, Jun 16, 2018, Sep 20, 2017 and 1 more (4 updates tracked since 2017).

About Community Hospital-fairfax NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

COMMUNITY HOSPITAL-FAIRFAX (NPI 1972507523) is a healthcare organization registered as a rural health in Tarkio, Missouri and active in the NPI registry since June 2005. The organization lists Jon P Davis, Cfo, as its authorized official.

NPPES Registry Identity

NPI1972507523
Entity TypeOrganization
Primary Taxonomy261QR1300X
Legal Business NameCOMMUNITY HOSPITAL ASSOCIATION
Location Address102 S 6TH STTarkio, MO 64491-1513
Mailing Address102 S 6th StreetTarkio, MO 64491-1513 · (660) 736-4193 · Fax (660) 736-4966
Fax(660) 736-4966
Organization SubpartNo
Authorized OfficialJon P DavisCfo · (660) 686-2320
Enumeration DateJune 10, 2005
Last NPPES UpdateOctober 21, 20194 updates tracked since enumeration
✔ NPI 1972507523 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyClinic/Center · Rural HealthAmbulatory Health Care Facilities
Taxonomy Code261QR1300X
Also ListedFamily MedicineTaxonomy 207Q00000X
102 S 6TH ST, Tarkio, MO 64491

Other Names 2

Doing Business AsCommunity Hospital-fairfax
Doing Business AsTarkio Family Medicine

Other Identifiers 2

Medicaid505180802MO
Other27443017MO · Bcbs Kansas City Mo

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

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

7

Medicare enrollment records show 7 clinicians reassign Medicare billing to Community Hospital-Fairfax, which bills Medicare for the services they deliver. Of these, 5 practice within 10 miles. They are listed nearest first.

Clinicians, nearest first (7)

Nurse Practitioner
NPI 1023448164
26136 US HIGHWAY 59
Fairfax, MO 64446
(660) 686-2211
✔ PECOS✔ Accepts Medicare1.5 mi
Nurse Practitioner
NPI 1245566314
26136 US HIGHWAY 59
Fairfax, MO 64446
(660) 686-2211
✔ PECOS✔ Accepts Medicare1.5 mi
Family Practice
NPI 1578557872
26136 US HIGHWAY 59
Fairfax, MO 64446
(660) 686-2211
✔ PECOS✔ Accepts Medicare1.5 mi
Family Practice
NPI 1245237817
100 E CASS ST
Rock Port, MO 64482
(660) 744-5361
✔ PECOS✔ Accepts Medicare7.9 mi
Nurse Practitioner
NPI 1528067980
100 E CASS ST
Rock Port, MO 64482
(660) 744-5361
✔ PECOS7.9 mi
Family Practice
NPI 1396033072
514 STATE ST
Mound City, MO 64470
(660) 686-2329
✔ PECOS✔ Accepts Medicare17 mi
Urology
NPI 1346533924
901 HEARTLAND RD STE 1800
Saint Joseph, MO 64506
(816) 232-8877
✔ PECOS✔ Accepts Medicare51 mi

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 1972507523. It was assigned to this organization in the NPPES registry on June 10, 2005. The provider is doing business as Community Hospital-Fairfax and Tarkio Family Medicine.

Where is Community Hospital Association located?

Community Hospital Association is located at 102 S 6th St, Tarkio, MO 64491. The listed phone number is (660) 736-4193.

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, 5 practice 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 October 21, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.