Organization
CAH ACQUISITION COMPANY 3 LLC
Active
Other names
Esther Becker Center for Health and Wellness
Organization subpart
No
Provider details
NPI number
Authorized official
TERRY W NICHOLS (CEO)
(785) 486-2642
Entity
Organization
Contact information
Practice address
517 MAIN ST, EVEREST, KS 66424-9157
(785) 548-7610
(785) 486-2842
Mailing address
1100 MAIN ST, SUITE 2350, KANSAS CITY, MO 64105-2120
(785) 486-2642
(785) 486-2842
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
H-007-002
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100069780C
—
KS
01
—
110054
BLUE SHIELD
KS
Enumeration date
12/28/2007
Last updated
08/02/2011
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