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NPI Code Detail

MEDICARE: CAH ACQUISITION COMPANY 6 LLC

MEDICARE: CAH ACQUISITION COMPANY 6 LLC
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
1261QR1300XRural Health Clinic/CenterMO

General Provider Information

NPI Number : 1558394064
Entity Type Code : Organization
Provider Name (Legal Business Name) : CAH ACQUISITION COMPANY 6 LLC
Provider Business Mailing Address
First Line : 105 HOSPITAL DRIVE
Second Line :
City : SWEET SPRINGS
State : MO
Zip : 65351-2229
Country : US
Telephone Number : 660-335-4700
Fax Number : 660-335-7487
Provider Business Practice Location Address
First Line : 105 HOSPITAL DRIVE
Second Line : BLDG B
City : SWEET SPRINGS
State : MO
Zip : 65351-2229
Country : US
Telephone Number : 660-335-7074
Fax Number : 660-335-9955
Authorized Official
Title or Position : CEO
Name : JEFFREY W BLOEMKER
Credential :
Telephone Number : 660-335-4700
Provider Enumeration Date : 07/08/2006
Last Update Date : 06/22/2015

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Directions to “CAH ACQUISITION COMPANY 6 LLC ” Practice Location

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