Provider Demographics
NPI:1215992656
Name:CAH ACQUISITION COMPANY 2 LLC
Entity type:Organization
Organization Name:CAH ACQUISITION COMPANY 2 LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:BILLY
Authorized Official - Middle Name:D
Authorized Official - Last Name:COCHRAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:620-795-2921
Mailing Address - Street 1:800 BARKER DR
Mailing Address - Street 2:OSWEGO COMMUNITY HOSPITAL
Mailing Address - City:OSWEGO
Mailing Address - State:KS
Mailing Address - Zip Code:67356-9033
Mailing Address - Country:US
Mailing Address - Phone:620-795-2921
Mailing Address - Fax:620-795-3094
Practice Address - Street 1:800 BARKER DR
Practice Address - Street 2:
Practice Address - City:OSWEGO
Practice Address - State:KS
Practice Address - Zip Code:67356
Practice Address - Country:US
Practice Address - Phone:620-795-2921
Practice Address - Fax:620-795-3094
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-04-19
Last Update Date:2018-07-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KSH-050-003282NC0060X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes282NC0060XHospitalsGeneral Acute Care HospitalCritical Access
Provider Identifiers
StateIdentifier IDID TypeIssuer
OK200078420AMedicaid
KS1064OtherBCBS
KS200570210BMedicaid
KS200570210AMedicaid
MO012104204Medicaid
KS111372OtherBLUE SHIELD
KS100427390AMedicaid
KS200570210AMedicaid
171302Medicare Oscar/Certification