Organization
PECULIAR MEDICAL CLINIC
Active
Other names
Cass Medical Center
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JOHN CHRISTOPHER LANG (CEO)
(816) 358-8888
Entity
Organization
Contact information
Practice address
300 S MAIN, PECULIAR, MO 64078-9729
(816) 779-1100
(816) 779-1119
Mailing address
PO BOX 788, PECULIAR, MO 64078-0788
(816) 779-1100
(816) 779-1119
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
32899015
BCBS GRP
—
Enumeration date
11/16/2005
Last updated
03/03/2008
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