Organization
CASS REGIONAL MEDICAL CENTER
Active
Parent organization
CASS REGIONAL MEDICAL CENTER
Other names
Archie Medical Clinic
Organization subpart
Yes
Provider details
NPI number
Legal business name
CASS REGIONAL MEDICAL CENTER
Authorized official
JANIE ELLIOTT (BUSINESS OFFICE MANAGER)
(816) 887-0315
Entity
Organization
Contact information
Practice address
709 E PINE ST., ARCHIE, MO 64725
(816) 430-5777
(816) 430-5219
Mailing address
2800 E ROCK HAVEN RD, HARRISONVILLE, MO 64701-4411
(816) 887-0315
(816) 380-0718
Taxonomy
Speciality
Code
Description
License number
State
261QR1300X
Rural Health Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
24824010
BCBS OF KC
MO
05
—
593863004
—
MO
Enumeration date
10/27/2005
Last updated
11/01/2022
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