Basic Information
Provider Information
NPI: 1548734734
EntityType: 2
ReplacementNPI:  
OrganizationName: CH ALLIED SERVICES, INC
LastName:  
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Credential:  
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Mailing Information
Address1: 1600 E. BROADWAY
Address2: ADMINISTRATION
City: COLUMBIA
State: MO
PostalCode: 652015897
CountryCode: US
TelephoneNumber: 5738158000
FaxNumber:  
Practice Location
Address1: 1600 E. BROADWAY
Address2: ADMINISTRATION
City: COLUMBIA
State: MO
PostalCode: 652015897
CountryCode: US
TelephoneNumber: 5738158000
FaxNumber:  
Other Information
ProviderEnumerationDate: 01/22/2019
LastUpdateDate: 01/22/2019
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode:  
AuthorizedOfficialLastName: CHAMBERS
AuthorizedOfficialFirstName: BARRY
AuthorizedOfficialMiddleName: M
AuthorizedOfficialTitleorPosition: CFO
AuthorizedOfficialTelephone: 5738153072
IsSoleProprietor:  
IsOrganizationSubpart: Y
ParentOrganizationLBN: CH ALLIED SERVICES, INC
AuthorizedOfficialNamePrefix:  
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AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
282N00000X  N HospitalsGeneral Acute Care Hospital 
261QR0404X  Y Ambulatory Health Care FacilitiesClinic/CenterRehabilitation, Cardiac Facilities

No ID Information.


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