CH Allied Services, Inc.
Organization Active NPI General Acute Care Hospital · Columbia, MO
NPI 1902817844 · NPPES record last updated Mar 15, 2021
Key facts
- NPI
- 1902817844
- Entity type
- Organization (NPI type 2)
- Primary specialty
- General Acute Care Hospital 282N00000X
- License
- 361-14 (MO)
- Legal business name
- CH ALLIED SERVICES, INC.
- Practice address
- 1600 E Broadway
Columbia, MO 65201-5844 - Phone
- (573) 815-8000
- Fax
- (573) 815-2638
- NPI assigned
- Aug 9, 2006
- Organization subpart
- No
Authorized official
- Name
- Mr. Barry Chambers
- Title
- Cfo
- Phone
- (573) 815-3072
Owners & managing parties with NPI records 2
-
Charles P. Bondurant, M.D.
-
Jerry D Kennett, M.D.
Owned or controlled facilities with NPI records 4
Other NPIs on the same Medicare enrollment 1
Other NPIs with the same Medicare PAC ID 1
Corporate family (same tax ID) 3
Member organizations 6
Related certifications (CCN) 1
Facilities with the same owner 1
Practitioners 57
-
Blake William Barnes, M.D.
-
Nathan K Beckett, MD
-
Jessica Marscia Bender, D.O.
-
Darrah Berck, M.D.
-
Sarah E Bernard, MD
-
Shambhu Bhagat, M.D.
-
Holly H Bondurant, M.D.
-
Matthew Ryan Borgmeyer, M.D.
-
Tina Brockman, MD
-
Aruna Cheddi, M.D.
-
Kristin Lynn Dietiker, M.D.
-
Joss D Fernandez, M.D.
-
Joseph Ferry, DO
-
Matthew J. Freer, P.A.C.
-
Benjamin Ray Gerber, M.D.
-
Kate Lauren Grossman, M.D.
-
Ricardo Andres Hernandez, M.D.
-
Janie Louise Jacobs, M.D.
-
David T. James III, M.D.
-
Ronald Lee Jones, MD
-
Venkata Kishore Kenguva, M.D.
Affiliated clinicians 688
-
Tareq M. Abu Salah, M.D.
-
Elaina Sells Adams, PA-C LAT ATC
-
Mark A Adams, M.D.
-
Sonya Addison, M.D.
-
Sadiat Omowunmi Adebiyi, APRN
-
Cary Dean Adkisson, F.N.P.
-
Ajay Aggarwal, M.D.
-
Saqib Ahmed, MD
-
Amanda Lou Ann Allmon, M.D.
-
Gabriel Anders, D.O.
-
Scott A Anderson, D.O.
-
Thomas Wesley Andrews, M.D.
-
Ameena Anees, MD
-
Jonathan Fortes Ang, M.D.
-
Alan Garvin Anz, MD
-
Heather Arnold, FNP
Medicare Care Compare: Hospital
- Listed as
- Boone Hospital Center
- Overall star rating
- ★★★★☆ 4 of 5
- Type
- Acute Care Hospitals
- Ownership
- Voluntary non-profit - Other
- Medicare certification status
- Active
- Emergency services
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MO
Hospital certification: CCN 260068
- Legal name
- CH ALLIED SERVICES, INC.
- Doing business as
- BOONE HOSPITAL CENTER
- Certification status
- Active
- Provider type (POS)
- Hospital – Short-term
- Participating since
- Jul 1, 1966
- Last certification
- Jan 10, 2008
- Beds
- 394
- Ownership / control type
- Other
- Organization structure
- Corporation · Non-profit
- Enrollment address
- 1600 E Broadway
Columbia, MO 65201-5844 - Hospital subgroups
- Acute care
All disclosed owners & managing parties 17
| Name | Role | Since | Share |
|---|---|---|---|
| Kathleen Daly Pitzer |
Corporate Officer |
Apr 1, 2021 | |
| Corporate Director |
Apr 1, 2021 | ||
| Operational/Managerial Control |
Apr 1, 2021 | ||
| Monica Smith |
Corporate Officer |
Apr 1, 2021 | |
| W-2 Managing Employee |
Apr 1, 2021 | ||
| Operational/Managerial Control |
Apr 1, 2021 | ||
| Gregory Allen Steinhoff |
Corporate Director |
Apr 1, 2021 | |
| Operational/Managerial Control |
Apr 1, 2021 | ||
| Boone Health Inc. |
Operational/Managerial Control | Jan 1, 2021 | |
| Brian L Winn |
W-2 Managing Employee |
Nov 17, 2023 | |
| Operational/Managerial Control |
Nov 17, 2023 | ||
| Charles P Bondurant |
Corporate Officer |
Apr 25, 2023 | |
| Corporate Director |
Apr 1, 2021 | ||
| Operational/Managerial Control |
Apr 1, 2021 | ||
| Edward J Clayton |
Corporate Director | Sep 1, 2022 | |
| W-2 Managing Employee | Sep 1, 2022 | ||
| Operational/Managerial Control | Sep 1, 2022 | ||
| Robert McDavid |
Corporate Director |
Apr 1, 2021 | |
| Operational/Managerial Control |
Apr 1, 2021 | ||
| Randy M Morrow |
Corporate Officer |
Apr 1, 2021 | |
| Corporate Director |
Apr 1, 2021 | ||
| Operational/Managerial Control |
Apr 1, 2021 | ||
| Bethany Abeln |
W-2 Managing Employee |
Mar 28, 2024 | |
| Operational/Managerial Control |
Mar 28, 2024 | ||
| Judith Lynne Starr |
Corporate Director |
Apr 1, 2021 | |
| Operational/Managerial Control |
Apr 1, 2021 | ||
| William Orscheln |
Corporate Director |
Apr 1, 2021 | |
| Operational/Managerial Control |
Apr 1, 2021 | ||
| Stacye Louise Smith |
Corporate Director |
Apr 1, 2021 | |
| Operational/Managerial Control |
Apr 1, 2021 | ||
| Jan Beckett |
Corporate Officer |
Apr 1, 2021 | |
| Corporate Director |
Jan 1, 2001 | ||
| Operational/Managerial Control |
Jan 1, 2001 | ||
| Dianne Marie Lynch |
Corporate Director |
Apr 1, 2021 | |
| Operational/Managerial Control |
Apr 1, 2021 | ||
| Gary William Thompson |
Corporate Director |
Apr 1, 2021 | |
| Operational/Managerial Control |
Apr 1, 2021 | ||
| Jerry D Kennett |
Corporate Officer |
Apr 1, 2021 | |
| Corporate Director |
Apr 1, 2021 | ||
| Operational/Managerial Control |
Apr 1, 2021 |
All facility ownership & control disclosures 4
| Facility | Type | Role | Since |
|---|---|---|---|
| Centralia Family Health Clinic |
Rural health clinic | 5% Or Greater Direct Ownership Interest (100%) | Nov 4, 2008 |
| Boone Health Primary Care - Moberly |
Rural health clinic | 5% Or Greater Direct Ownership Interest (100%) | Sep 1, 2024 |
| Boone Health Primary Care - Medical Park |
Rural health clinic | 5% Or Greater Direct Ownership Interest (100%) | Sep 1, 2024 |
| Boone Health Primary Care - Boonville |
Rural health clinic | 5% Or Greater Direct Ownership Interest (100%) | Sep 1, 2024 |
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20061013000177 | MO | Part a Provider - Hospital | 8325940307 |
1 other NPI on this enrollment Practice locations: Columbia, MO; Osage Beach, MO; Moberly, MO; Mexico, MO; Centralia, MO |
National Provider Directory
- Tax ID family
- Marceline Family Health
Locations
1600 E Broadway
#60
Columbia, MO 65201
Phone (573) 219-6445
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Acute Care Hospital | 282N00000X | 361-14 | MO | Yes |
| Ambulance | 341600000X |
Addresses
Primary practice location
1600 E Broadway
Columbia, MO 65201-5844
Mailing address
1600 E Broadway
Columbia, MO 65201-5844
Phone (573) 815-8000
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 800635104 | Medicaid | MO | |
| 010635100 | Medicaid | MO | |
| 102819 | Other | HEALTHLINK | |
| 5034582 | Other | UHC- BEHAVORIAL HEALTH |
Other names
- Boone Hospital Center
Other providers in Columbia, MO
- CH Allied Services, Inc
- CH Allied Services, Inc.
- CH Allied Services, Inc.
- CH Allied Services, Inc.
- CH Allied Services, Inc.
- CH Allied Servies Inc
- Samantha Chace
- Pravallika Chadalavada
- Dennis Baskaran Chairman
- Melissa Challender
All providers in Columbia, MO · General Acute Care Hospital in Missouri
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 15, 2021. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- CMS facility enrollments, All Owners and change-of-ownership files: CCNs, owners and managing parties.
- Provider of Services files (CMS): certification status, beds and related CCNs.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.