Healthcare Provider Details

I. General information

NPI: 1659382695
Provider Name (Legal Business Name): CH ALLIED SERVICES, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/11/2006
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1600 E BROADWAY
COLUMBIA MO
65201-5844
US

IV. Provider business mailing address

1600 E BROADWAY
COLUMBIA MO
65201-5844
US

V. Phone/Fax

Practice location:
  • Phone: 573-815-8000
  • Fax: 573-815-2638
Mailing address:
  • Phone: 573-815-8000
  • Fax: 573-815-2638

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code314000000X
TaxonomySkilled Nursing Facility
License Number361-14
License Number StateMO

VIII. Authorized Official

Name: MR. RANDY M MORROW
Title or Position: VICE PRESIDENT AND COO
Credential:
Phone: 573-815-3232