Cah Acquisition Company 2 LLC

Primary specialty

Rural Health Clinic/CenterTaxonomy code 261QR1300X

License

H050003 Issued in KS

Legal business name

CAH ACQUISITION COMPANY 2 LLC

Doing business as

Chetopa Community Clinic

Practice address

429 Maple Street
Box 106
Chetopa, KS 67336

Phone

(620) 236-7351

Fax

(620) 236-7976

NPI assigned

Nov 12, 2010

Last updated

Jul 16, 2018By the provider in NPPES

Organization subpart

Yes

Parent organization

CAH ACQUISTION COMPANY 2 LLCAs reported in NPPES

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

Authorized official

Name

Billy D Cochran

Title

Ceo

Phone

(620) 795-2921

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• CHETOPA COMMUNITY CLINIC Doing business as

Part of

Cah Acquisition Company 2 LLC

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

{
    "created_epoch": "1289520000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1531699200000",
    "number": "1255632840",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "800 BARKER DRIVE",
            "city": "OSWEGO",
            "state": "KS",
            "postal_code": "673569033",
            "telephone_number": "620-236-7351",
            "fax_number": "620-236-7976"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "429 MAPLE STREET",
            "address_2": "BOX 106",
            "city": "CHETOPA",
            "state": "KS",
            "postal_code": "67336",
            "telephone_number": "620-236-7351",
            "fax_number": "620-236-7976"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CAH ACQUISITION COMPANY 2 LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "CAH ACQUISTION COMPANY 2 LLC",
        "enumeration_date": "2010-11-12",
        "last_updated": "2018-07-16",
        "status": "A",
        "authorized_official_last_name": "COCHRAN",
        "authorized_official_first_name": "BILLY",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "620-795-2921"
    },
    "taxonomies": [
        {
            "code": "261QR1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rural Health",
            "state": "KS",
            "license": "H050003",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200570210D",
            "state": "KS"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "CHETOPA COMMUNITY CLINIC",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "CHETOPA COMMUNITY CLINIC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Cynthia Ann Brady, PTA
• David Wayne Carter, PHARMD, RPH, PD
• Chetopa-St. Paul Usd505
• Kerry Leann Clark
• Haskell Regional Hospital, Inc. (ONH Medical Group, Chetopa)
• Labette County Medical Center (Labette Health Chetopa Clinic)

• Rural Health Clinic/Center in Chetopa, KS
• Providers in Chetopa, KS by specialty
• Rural Health Clinic/Center in Kansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 16, 2018; 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.