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
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Primary Care Clinic/Center
- 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, 2011
- Organization subpart
- Yes
- Parent organization
- I-70 MEDICAL CENTER
NPPES NPI Registry
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
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.