Healthcare Provider Details

I. General information

NPI: 1568443711
Provider Name (Legal Business Name): CASS REGIONAL MEDICAL CENTER
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/07/2005
Last Update Date: 05/11/2011
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2820 E ROCK HAVEN ROAD SUITE 210
HARRISONVILLE MO
64701-4414
US

IV. Provider business mailing address

2820 E ROCK HAVEN ROAD SUITE 210
HARRISONVILLE MO
64701-4414
US

V. Phone/Fax

Practice location:
  • Phone: 816-380-7470
  • Fax: 816-380-3291
Mailing address:
  • Phone: 816-380-7470
  • Fax: 816-380-3291

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: JOHN CHRISTOPHER LANG
Title or Position: CEO
Credential:
Phone: 816-358-8888