1235381120 NPI number — CAH ACQUISITION COMPANY #6 LLC

Table of content: (NPI 1235381120)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1235381120 NPI number — CAH ACQUISITION COMPANY #6 LLC

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
CAH ACQUISITION COMPANY #6 LLC
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
6
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1235381120
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
07/27/2011
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
1100 MAIN ST
Provider Second Line Business Mailing Address:
SUITE 2350
Provider Business Mailing Address City Name:
KANSAS CITY
Provider Business Mailing Address State Name:
MO
Provider Business Mailing Address Postal Code:
64105-2120
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
660-463-1010
Provider Business Mailing Address Fax Number:
660-463-1070

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
607 S MAIN
Provider Second Line Business Practice Location Address:
SUITE B
Provider Business Practice Location Address City Name:
CONCORDIA
Provider Business Practice Location Address State Name:
MO
Provider Business Practice Location Address Postal Code:
64020-0000
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
660-463-1010
Provider Business Practice Location Address Fax Number:
660-463-1070
Provider Enumeration Date:
10/22/2008

Additional Information

Authorized Official

Authorized Official Last Name:
DAVENPORT
Authorized Official First Name:
JULIE
Authorized Official Middle Name:
A
Authorized Official Title or Position:
CEO
Authorized Official Telephone Number:
660-335-7408

Provider Taxonomy Codes

  • Taxonomy code: 261QR1300X ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
  • Taxonomy code: 261QP2300X ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)





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