Organization
CAH ACQUISITION COMPANY 3 LLC
Active
Parent organization
CAH ACQUISITION COMPANY 3 LLC
Other names
Horton Rural Health Clinic
Organization subpart
Yes
Provider details
NPI number
Legal business name
CAH ACQUISITION COMPANY 3 LLC
Authorized official
TYRONE L COMPTON (CEO)
(785) 879-4357
Entity
Organization
Contact information
Practice address
1903 EUCLID AVE, HORTON, KS 66439
(785) 879-4325
(785) 879-4398
Mailing address
240 W. 18TH STREET, HORTON, KS 66439-1245
(785) 879-4357
(785) 879-4406
Taxonomy
Speciality
Code
Description
License number
State
261QR1300X
Rural Health Clinic/Center
Primary
H007002
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
110054
BLUE SHIELD
KS
05
—
200575150B
—
KS
Enumeration date
12/28/2007
Last updated
07/16/2018
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