NPIMap

Organization Active NPI

Cass Regional Medical Center

Doing business as DBA Archie Medical Center

  • Primary Care Clinic/Center
  • Archie, MO
National Provider Identifier
1962647115
Registry record updated Dec 2, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
Legal business name
CASS REGIONAL MEDICAL CENTER
Doing business as
DBA Archie Medical Center
Practice address
709 E Pine St
Archie, MO 64725-9215
Phone
(816) 430-5777
Fax
(816) 430-5219
NPI assigned
Dec 2, 2008
Last updated
Dec 2, 2008By the provider in NPPES
Organization subpart
Yes
Parent organization
CASS REGIONAL MEDICAL CENTERAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Dec 2, 2008

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

Authorized official

Name
John Christopher Lang
Title
Ceo
Phone
(816) 380-5888

Specialties & licenses 1

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

Addresses

Primary practice location

709 E Pine St
Archie, MO 64725-9215

Mailing address

709 E Pine St
Archie, MO 64725-9215
Phone (816) 430-5777

Other identifiers 1

IdentifierTypeStateIssuer
20663016OtherMOBCBS OF KC

Other names 1

  • DBA Archie Medical Center Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Consulting Radiologists LTD16 organizations share this tax ID, including this one
Part of
Consulting Radiologists LTD

Other organizations with this tax ID 15

Organizations that report the same tax identification number in the National Provider Directory.

View all 15

NPI Registry JSON

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

{
    "created_epoch": "1228176000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1228176000000",
    "number": "1962647115",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "709 E PINE ST",
            "city": "ARCHIE",
            "state": "MO",
            "postal_code": "647259215",
            "telephone_number": "816-430-5777",
            "fax_number": "816-430-5219"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "709 E PINE ST",
            "city": "ARCHIE",
            "state": "MO",
            "postal_code": "647259215",
            "telephone_number": "816-430-5777",
            "fax_number": "816-430-5219"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CASS REGIONAL MEDICAL CENTER",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "CASS REGIONAL MEDICAL CENTER",
        "enumeration_date": "2008-12-02",
        "last_updated": "2008-12-02",
        "status": "A",
        "authorized_official_last_name": "LANG",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "CHRISTOPHER",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "816-380-5888"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS OF KC",
            "identifier": "20663016",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "DBA Archie Medical Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Archie, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 2, 2008; 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.