MEDICARE: CASS REGIONAL MEDICAL CENTER

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	261QR1300X	Rural Health Clinic/Center

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	22290019	OTHER		BCBS GRP NUMBER

General Provider Information

NPI Number	:	1538159058
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	CASS REGIONAL MEDICAL CENTER

Provider Business Mailing Address
First Line	:	2800 E ROCK HAVEN RD
Second Line	:
City	:	HARRISONVILLE
State	:	MO
Zip	:	64701-4411
Country	:	US
Telephone Number	:	816-887-0315
Fax Number	:	816-380-0718

Provider Business Practice Location Address
First Line	:	1601 N HIGHWAY 7
Second Line	:
City	:	PLEASANT HILL
State	:	MO
Zip	:	64080-1945
Country	:	US
Telephone Number	:	816-540-2111
Fax Number	:	816-540-6065

Authorized Official
Title or Position	:	BUSINESS OFFICE MANAGER
Name	:	JANIE ELLIOTT
Credential	:
Telephone Number	:	816-887-0315

Provider Enumeration Date	:	10/26/2005
Last Update Date	:	11/01/2022

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1508002635 — CASS REGIONAL MEDICAL CENTER
Practice Location Address:

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Practice Fax: 816-540-6065

Directions to “CASS REGIONAL MEDICAL CENTER ” Practice Location

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