| Cah Acquisition Company 3 Llc | |
|
517 Main St Everest KS 66424-9157 | |
| (785) 548-7610 | |
| (785) 486-2842 |
| Full Name | Cah Acquisition Company 3 Llc |
|---|---|
| Speciality | Family Medicine |
| Location | 517 Main St, Everest, Kansas |
| Authorized Official Name and Position | Terry W Nichols (CEO) |
| Authorized Official Contact | 7854862642 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Cah Acquisition Company 3 Llc 1100 Main St Suite 2350 Kansas City MO 64105-2120 Ph: (785) 486-2642 | Cah Acquisition Company 3 Llc 517 Main St Everest KS 66424-9157 Ph: (785) 548-7610 |
| NPI Number | 1588848352 |
|---|---|
| Provider Enumeration Date | 12/28/2007 |
| Last Update Date | 08/02/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1588848352 | NPI | - | NPPES |
| 100069780C | Medicaid | KS | |
| 110054 | Other | KS | BLUE SHIELD |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | H-007-002 (Kansas) | Primary |
Northeast Kansas Center For Health And Wellness, Inc. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 517 Main St, Everest, KS 66424 Phone: 785-548-7610 Fax: 785-486-2842 |