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

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
3	7060000	OTHER		MEDICARE

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	26786014	OTHER		BCBS
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1568443711
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	CASS REGIONAL MEDICAL CENTER

Provider Business Mailing Address
First Line	:	2820 E ROCK HAVEN ROAD
Second Line	:	SUITE 210
City	:	HARRISONVILLE
State	:	MO
Zip	:	64701-4414
Country	:	US
Telephone Number	:	816-380-7470
Fax Number	:	816-380-3291

Provider Business Practice Location Address
First Line	:	2820 E ROCK HAVEN ROAD
Second Line	:	SUITE 210
City	:	HARRISONVILLE
State	:	MO
Zip	:	64701-4414
Country	:	US
Telephone Number	:	816-380-7470
Fax Number	:	816-380-3291

Authorized Official
Title or Position	:	CEO
Name	:	JOHN CHRISTOPHER LANG
Credential	:
Telephone Number	:	816-358-8888

Provider Enumeration Date	:	11/07/2005
Last Update Date	:	05/11/2011

Similar Medicare Providers

1801826193 — DR. CASSANDRA L BREWSTER MD
Practice Location Address:

2820 E ROCK HAVEN RD STE 210
HARRISONVILLE, MO
64701-4414

Practice Phone: 816-540-2111
Practice Fax:

1215952197 — TERESA E. GALLAGHER-CALIA M.D.
Practice Location Address:

2820 E ROCK HAVEN RD STE 210
HARRISONVILLE, MO
64701-4414

Practice Phone: 816-380-7470
Practice Fax: 816-887-0315

1104061977 — CASS REGIONAL MEDICAL CENTER
Practice Location Address:

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

Practice Phone: 816-380-7470
Practice Fax: 816-380-3291

1194959510 — JACKIE D KUMM F.N.P.
Practice Location Address:

2820 E ROCK HAVEN RD STE 210
HARRISONVILLE, MO
64701-4414

Practice Phone: 816-380-7470
Practice Fax: 816-380-3291

1659692135 — HEATHER BLOESSER DO
Practice Location Address:

2820 E ROCK HAVEN RD STE 210
HARRISONVILLE, MO
64701-4414

Practice Phone: 816-380-7470
Practice Fax:

1336570803 — BIO-MEDICAL APPLICATIONS OF MISSOURI, INC.
Practice Location Address:

2820 E ROCK HAVEN RD STE 160
HARRISONVILLE, MO
64701-4414

Practice Phone: 816-884-2582
Practice Fax: 816-884-2562

Directions to “CASS REGIONAL MEDICAL CENTER ” Practice Location

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