NPIMap

Organization Active NPI

Cass Regional Medical Center

  • Critical Access Hospital
  • Harrisonville, MO
National Provider Identifier
1477535326
Registry record updated May 4, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Critical Access HospitalTaxonomy code 282NC0060X
License
219-42 Issued in MO
Legal business name
CASS REGIONAL MEDICAL CENTER
Practice address
2800 E Rock Haven Rd
Harrisonville, MO 64701-4411
Phone
(816) 380-3474
Fax
(816) 887-0315
NPI assigned
Nov 16, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 4, 2017

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

Authorized official

Name
Mr. J. Christopher Lang
Title
Ceo
Phone
(816) 380-5888

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 207P00000X
Emergency Medical Services (Emergency Medicine) PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 207PE0004X
Critical Access Hospital 282NC0060X 219-42 MO Primary

Addresses

Primary practice location

2800 E Rock Haven Rd
Harrisonville, MO 64701-4411

Mailing address

2800 E Rock Haven Rd
Harrisonville, MO 64701-4411
Phone (816) 380-3474

Other identifiers 1

IdentifierTypeStateIssuer
33014011OtherMOBCBS OF KC

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20040225000028 MO Part B Supplier - Clinic/Group Practice 7517853781 Receives reassigned benefits from 77 practitioners
3 other NPIs on this enrollment
Practice locations: Archie, MO; Pleasant Hill, MO; Peculiar, MO; Lee'S Summit, MO; Kingsville, MO; Kansas City, MO; Harrisonville, MO; Garden City, MO…
O20061104000328 MO Part A Provider - Critical Access Hospital 7517853781 Receives reassigned benefits from 9 practitioners
Practice locations: Harrisonville, MO; Pleasant Hill, MO

Hospital certification: CCN 261324

Legal name
CASS REGIONAL MEDICAL CENTER
Doing business as
CASS REGIONAL MEDICAL CENTER
Certification status
Active
Provider type (POS)
Hospital – Critical access hospital
Participating since
Jun 1, 2005
Last certification
Oct 26, 2016
Beds
35 (25 certified)
Ownership / control type
Local
Organization structure
OtherProprietary
Incorporated
Feb 25, 1981 in MO
Enrollment address
2800 E Rock Haven Rd
Harrisonville, MO 64701-4411
Other Hospital Practice Location

Facilities connected through Provider of Services related, parent or unit certification numbers.

Other NPIs with the same Medicare PAC ID 6

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

Care Compare: Hospital

Medicare Care Compare
Listed as
Cass Regional Medical CenterCCN 261324
Overall star rating
4 of 5
Type
Critical Access Hospitals
Ownership
Government - Local
Medicare certification status
ActiveFrom the Provider of Services file
Emergency services
Yes

National Provider Directory

National Provider Directory

Locations

594 Schug Ave
Peculiar, MO 64078
Phone (816) 779-1100

Ownership & related parties

All disclosed owners & managing parties 6

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
James Kurzweil Individual Corporate DirectorBoard Member Apr 22, 2015
Ronnie Thompson Individual Corporate OfficerCfo Feb 1, 2024
Amy Catron Individual Corporate DirectorBoard Member Apr 1, 2014
Jerald Johnson Individual Corporate Director Apr 25, 2018
Danny Carmichael Individual Corporate DirectorBoard Member Sep 4, 2020
J Christopher Lang Individual Corporate OfficerCeo Jan 6, 2003
W-2 Managing EmployeeCeo Jan 6, 2003
Operational/Managerial Control Jan 6, 2003 100%

All facility ownership & control disclosures 4

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Pleasant Hill Medical ClinicPleasant Hill, MO, CCN 263485 Rural health clinic Operational/Managerial Control (100%) Jan 1, 2015
Archie Medical ClinicArchie, MO, CCN 268522 Rural health clinic 5% Or Greater Direct Ownership Interest (100%)
Operational/Managerial Control (100%)		 Sep 10, 1998
Apr 8, 1998
Garden City Medical ClinicGarden City, MO, CCN 263458 Rural health clinic 5% Or Greater Direct Ownership Interest (100%) Jun 9, 1995
Kingsville Medical ClinicKingsville, MO, CCN 268659 Rural health clinic 5% Or Greater Direct Ownership Interest (100%) Oct 1, 2010

Owned or controlled facilities with NPI records 4

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Practitioners & affiliated clinicians

Practitioners 101

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

View all 101

Affiliated clinicians 128

Clinicians who list this facility as an affiliation in Medicare Care Compare.

View all 128

NPI Registry JSON

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

{
    "created_epoch": "1132099200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1493856000000",
    "number": "1477535326",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2800 E ROCK HAVEN RD",
            "city": "HARRISONVILLE",
            "state": "MO",
            "postal_code": "647014411",
            "telephone_number": "816-380-3474",
            "fax_number": "816-887-0315"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2800 E ROCK HAVEN RD",
            "city": "HARRISONVILLE",
            "state": "MO",
            "postal_code": "647014411",
            "telephone_number": "816-380-3474",
            "fax_number": "816-887-0315"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CASS REGIONAL MEDICAL CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-11-16",
        "last_updated": "2017-05-04",
        "status": "A",
        "authorized_official_last_name": "LANG",
        "authorized_official_first_name": "J.",
        "authorized_official_middle_name": "CHRISTOPHER",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "816-380-5888",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Emergency Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207PE0004X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Emergency Medicine, Emergency Medical Services",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "282NC0060X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital, Critical Access",
            "state": "MO",
            "license": "219-42",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS OF KC",
            "identifier": "33014011",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Harrisonville, MO

Sources for this page

Verify at the official NPI Registry.