Healthcare Provider Details

I. General information

NPI: 1598710097
Provider Name (Legal Business Name): CAH ACQUISITION COMPANY 6 LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/23/2006
Last Update Date: 10/05/2010
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

105 HOSPITAL DRIVE
SWEET SPRINGS MO
65351-2229
US

IV. Provider business mailing address

105 HOSPITAL DRIVE
SWEET SPRINGS MO
65351-2229
US

V. Phone/Fax

Practice location:
  • Phone: 660-335-4700
  • Fax: 660-335-7478
Mailing address:
  • Phone: 660-335-4700
  • Fax: 660-335-7478

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code282NR1301X
TaxonomyRural Acute Care Hospital
License Number493-0
License Number StateMO
# 2
Primary TaxonomyY
Taxonomy Code282NC0060X
TaxonomyCritical Access Hospital
License Number493-0
License Number StateMO

VIII. Authorized Official

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