Community Hospital-Fairfax – Rural Health Clinic/Center, NPI 1972507523

Community Hospital-Fairfax is a healthcare provider. based in Tarkio, Missouri. specializing in Rural Health Clinic/Center. The NPI Number for Community Hospital-Fairfax is 1972507523

Main info

Organization
Name
Community Hospital-Fairfax
NPI
1972507523
Phone
(660) 736-4193
Address
102 S 6TH STREET
Authorized Official
JON P DAVIS CFO
Enumeration Date
10 June 2005
Last Update Date
21 October 2019
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience50
Completeness80
Years active:20State licenses:0Digital endpointsUpdated within 12 months

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Provider Addresses for Community Hospital-Fairfax

  • 102, South 6th Street, Tarkio, Atchison County, Missouri, 64491, United States

    TARKIO, MO 644911513

    Phone: (660) 736-4193

    Fax: (660) 736-4966

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2019-05-06

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Past revalidation due date

Earliest CMS due date was 2024-10-31 (586 days ago).

Enrollment records

1

Earliest due date

2024-10-31

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
O20190506000754ORural Health ClinicMO2024-10-31

What to do next

  • Verify current status on the CMS Revalidation Lookup Tool immediately.
  • Complete revalidation in PECOS or contact your Medicare Administrative Contractor (MAC).
  • Overdue revalidation can lead to deactivation of Medicare billing privileges.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 64491)

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Reviews

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Frequently asked questions

Can I verify Community Hospital-Fairfax with an NPI only?
You can start verification with NPI 1972507523 for Community Hospital-Fairfax, then check state licensing separately.
Does CMS list Community Hospital-Fairfax as active?
Yes — Community Hospital-Fairfax is active in the NPI listing used on this page.
What healthcare role does Community Hospital-Fairfax hold?
Scheduling teams often label Community Hospital-Fairfax under Rural Health Clinic/Center. Clinical services aligned with this taxonomy classification.
Where should I expect Community Hospital-Fairfax on a map?
Expect Tarkio, Missouri as a primary anchor for Community Hospital-Fairfax unless the record lists multiple sites.
Is the information about Community Hospital-Fairfax up to date?
Data updates when providers file changes in NPPES — treat critical facts as "verify if unsure."

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Community Hospital-Fairfax

Rural Health Clinic/Center
Family Medical Center, 100, East Cass Street, Rock Port, Atchison County, Missouri, 64482, United States
NPI: 1396741302