| Organization Name: | CASS REGIONAL MEDICAL CENTER |
| NPI Number: | 1962647115 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | JOHN CHRISTOPHER LANG (CEO) |
| Mailing Address: | 709 E Pine St Archie |
| State: | MO US |
| Postal Code: | 647259215 |
| Phone Number: | 8164305777 |
| Fax Number: | 8164305219 |
| NPI Enumeration Date: | 12/02/2008 |
| NPI Last Update Date: | 12/02/2008 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 261QP2300X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | |
| Taxonomy Type: | Ambulatory Health Care Facilities |
| Taxonomy Classification: | Clinic/Center |
| Taxonomy Specialization: | Primary Care |
| Taxonomy Definition: | |