Organization Active NPI

Cah Acquisition Company #6 LLC

Doing business as I-70 Medical Clinic-Concordia

  • Primary Care Clinic/Center
  • Concordia, MO
National Provider Identifier
1235381120
Registry record updated Jul 27, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
Legal business name
CAH ACQUISITION COMPANY #6 LLC
Doing business as
I-70 Medical Clinic-Concordia
Practice address
607 S Main
Suite B
Concordia, MO 64020-0000
Phone
(660) 463-1010
Fax
(660) 463-1070
NPI assigned
Oct 22, 2008
Last updated
Jul 27, 2011By the provider in NPPES
Organization subpart
Yes
Parent organization
I-70 MEDICAL CENTERAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jul 27, 2011

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mrs. Julie A Davenport, RN
Title
Ceo
Phone
(660) 335-7408

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Clinic/Center 261QP2300X Primary
Rural Health Clinic/Center 261QR1300X

Addresses

Primary practice location

607 S Main
Suite B
Concordia, MO 64020-0000

Mailing address

1100 Main St
Suite 2350
Kansas City, MO 64105-2120
Phone (660) 463-1010

Other names 1

  • I-70 Medical Clinic-Concordia Doing business as

National Provider Directory

National Provider Directory
Part of
I 70 Medical Center

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1224633600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1311724800000",
    "number": "1235381120",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1100 MAIN ST",
            "address_2": "SUITE 2350",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641052120",
            "telephone_number": "660-463-1010",
            "fax_number": "660-463-1070"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "607 S MAIN",
            "address_2": "SUITE B",
            "city": "CONCORDIA",
            "state": "MO",
            "postal_code": "640200000",
            "telephone_number": "660-463-1010",
            "fax_number": "660-463-1070"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CAH ACQUISITION COMPANY #6 LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "I-70 MEDICAL CENTER",
        "enumeration_date": "2008-10-22",
        "last_updated": "2011-07-27",
        "status": "A",
        "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",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QR1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rural Health",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "I-70 Medical Clinic-Concordia",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Concordia, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 27, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.