Organization
CAH ACQUISITION COMPANY 6 LLC
Active
Other names
I-70 Medical Clinic-Concordia
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. JULIE A DAVENPORT (CEO)
(660) 335-4700
Entity
Organization
Contact information
Practice address
607 S MAIN STREET, SUITE B, CONCORDIA, MO 64021
(660) 463-1010
(660) 463-1070
Mailing address
607 S MAIN STREET, SUITE B, CONCORDIA, MO 64021
(660) 463-1010
(660) 463-1070
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
—
MO
261QP2300X
Primary Care Clinic/Center
Primary
—
—
Other
Enumeration date
02/24/2009
Last updated
04/27/2010
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