Healthcare Provider Details

I. General information

NPI: 1942509013
Provider Name (Legal Business Name): CAH ACQUISITION COMPANY 6 LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/15/2011
Last Update Date: 05/18/2011
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

206 S COUNTY RD
ALMA MO
64001
US

IV. Provider business mailing address

PO BOX 214
ALMA MO
64001-0214
US

V. Phone/Fax

Practice location:
  • Phone: 660-674-2403
  • Fax:
Mailing address:
  • Phone: 660-674-2403
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QR1300X
TaxonomyRural Health Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: MRS. JULIE A DAVENPORT
Title or Position: CEO
Credential: RN
Phone: 660-335-7408