Organization
CAH ACQUISITION COMPANY #6 LLC
Active
Parent organization
I-70 MEDICAL CENTER
Other names
I-70 Medical Clinic-Concordia
Organization subpart
Yes
Provider details
NPI number
Legal business name
I-70 MEDICAL CENTER
Authorized official
MRS. JULIE A DAVENPORT RN (CEO)
(660) 335-7408
Entity
Organization
Contact information
Practice address
607 S MAIN, SUITE B, CONCORDIA, MO 64020-0000
(660) 463-1010
(660) 463-1070
Mailing address
1100 MAIN ST, SUITE 2350, KANSAS CITY, MO 64105-2120
(660) 463-1010
(660) 463-1070
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
—
—
261QR1300X
Rural Health Clinic/Center
—
—
Other
Enumeration date
10/22/2008
Last updated
07/27/2011
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