Healthcare Provider Details

I. General information

NPI: 1548734734
Provider Name (Legal Business Name): CH ALLIED SERVICES, INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/22/2019
Last Update Date: 01/22/2019
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1600 E. BROADWAY ADMINISTRATION
COLUMBIA MO
65201-5897
US

IV. Provider business mailing address

1600 E. BROADWAY ADMINISTRATION
COLUMBIA MO
65201-5897
US

V. Phone/Fax

Practice location:
  • Phone: 573-815-8000
  • Fax:
Mailing address:
  • Phone: 573-815-8000
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code282N00000X
TaxonomyGeneral Acute Care Hospital
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code261QR0404X
TaxonomyCardiac Rehabilitation Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: BARRY M CHAMBERS
Title or Position: CFO
Credential:
Phone: 573-815-3072