Organization Name: | CAH ACQUISITION COMPANY 6 LLC |
NPI Number: | 1336389865 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | JULIE A DAVENPORT (CEO) |
Mailing Address: | 607 S Main Street Suite B Concordia |
State: | MO US |
Postal Code: | 64021 |
Phone Number: | 6604631010 |
Fax Number: | 6604631070 |
NPI Enumeration Date: | 02/24/2009 |
NPI Last Update Date: | 04/27/2010 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 261QP2300X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | MO |
Taxonomy Type: | Ambulatory Health Care Facilities |
Taxonomy Classification: | Clinic/Center |
Taxonomy Specialization: | Primary Care |
Taxonomy Definition: |