NPIMap

Organization Active NPI

Community Hospital Association Crna Group

  • Certified Registered Nurse Anesthetist
  • Fairfax, MO
National Provider Identifier
1932242872
Registry record updated Oct 21, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
102-48 Issued in MO
Legal business name
COMMUNITY HOSPITAL ASSOCIATION CRNA GROUP
Practice address
26136 US Highway 59
Fairfax, MO 64446-9105
Phone
(660) 686-2211
Fax
(660) 686-2618
NPI assigned
Feb 14, 2007
Last updated
Oct 21, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 21, 2019

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Julie Jones
Title
Ceo
Phone
(660) 686-2211

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Certified Registered Nurse Anesthetist 367500000X 102-48 MO Primary

Addresses

Primary practice location

26136 US Highway 59
Fairfax, MO 64446-9105

Mailing address

405 E Main St
Fairfax, MO 64446-8155
Phone (660) 686-2211

Other identifiers 2

IdentifierTypeStateIssuer
540492501MedicaidMO
00594021OtherMOBCBS

National Provider Directory

National Provider Directory
Tax ID family
Community Hospital Assoc9 organizations share this tax ID, including this one

Other organizations with this tax ID 8

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1171411200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1571616000000",
    "number": "1932242872",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "405 E MAIN ST",
            "city": "FAIRFAX",
            "state": "MO",
            "postal_code": "644468155",
            "telephone_number": "660-686-2211",
            "fax_number": "660-686-2618"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "26136 US HIGHWAY 59",
            "city": "FAIRFAX",
            "state": "MO",
            "postal_code": "644469105",
            "telephone_number": "660-686-2211",
            "fax_number": "660-686-2618"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMMUNITY HOSPITAL ASSOCIATION CRNA GROUP",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-14",
        "last_updated": "2019-10-21",
        "status": "A",
        "authorized_official_last_name": "JONES",
        "authorized_official_first_name": "JULIE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "660-686-2211"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "MO",
            "license": "102-48",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "540492501",
            "state": "MO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "00594021",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Fairfax, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 21, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.