1. Home
  2. Directory
  3. Missouri
  4. Harrisonville
  5. Clinic Center
  6. NPI Profile

HARRISONVILLE MEDICAL CLINIC
NPI 1104061977
Clinic/Center - Primary Care in Harrisonville, MO

Active since December 09, 2008CLIA Certified · 2 labs
2820 E ROCK HAVEN ROAD, SUITE 210, HARRISONVILLE, MO 64701(816) 380-7470(816) 380-3291 Get Directions Write a Review

NPPES record last updated: May 6, 2011. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Harrisonville Medical Clinic NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

HARRISONVILLE MEDICAL CLINIC (NPI 1104061977) is a healthcare organization registered as a primary care in Harrisonville, Missouri and active in the NPI registry since December 2008. The organization holds 2 active CLIA laboratory certificates and lists John C. Lang, C.e.o., as its authorized official.

NPPES Registry Identity

NPI1104061977
Entity TypeOrganization
Primary Taxonomy261QP2300X
Legal Business NameCASS REGIONAL MEDICAL CENTER
Location Address2820 E ROCK HAVEN ROAD, SUITE 210Harrisonville, MO 64701-4414
Mailing Address2820 E Rock Haven Road, Suite 210Harrisonville, MO 64701-4414 · (816) 380-7470 · Fax (816) 380-3291
Phone(816) 380-7470
Fax(816) 380-3291
Organization SubpartNo
Authorized OfficialJohn C. LangC.e.o. · (816) 380-5888
Enumeration DateDecember 9, 2008
Last NPPES UpdateMay 6, 2011
✔ NPI 1104061977 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Primary CareAmbulatory Health Care Facilities
Taxonomy Code261QP2300X
2820 E ROCK HAVEN ROAD, Harrisonville, MO 64701
Open in Google Maps ↗

Other Names 1

Doing Business AsHarrisonville Medical Clinic

Other Identifiers 1

Medicare PIN7060000

CLIA Laboratory Certificates CMS CLIA 2

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 26D0445296

Harrisonville Medical Clinic · Harrisonville, MO
Active · expires Dec 27, 2027
CLIA Number26D0445296
Laboratory TypePhysician Office
Certificate Effective DateDecember 28, 2025
Certificate Expiration DateDecember 27, 2027
Laboratory DirectorSamuel D. Brewster
Laboratory Phone(816) 884-3244
Laboratory LocationHarrisonville Medical Clinic2820 E Rock Haven Road, Ste 210, Harrisonville, MO 64701
CLIA data matches this NPI record on: Address Name
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 26D0686085

Harrisonville Family Medicine Inc · Harrisonville, MO
Active · expires Aug 31, 2026
CLIA Number26D0686085
Laboratory TypePhysician Office
Certificate Effective DateSeptember 1, 2024
Certificate Expiration DateAugust 31, 2026
Laboratory DirectorDamon K. Travis Do
Laboratory Phone(816) 884-3582
Laboratory LocationHarrisonville Family Medicine Inc2820 E Rock Haven Rd, Ste 100, Harrisonville, MO 64701
CLIA data matches this NPI record on: Address
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 5

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

RICHARD CHRISTIAN PRICE M.D.
Family Medicine
2820 E ROCK HAVEN ROAD, SUITE 210
HARRISONVILLE, MO 64701
Cass County (816) 380-7470
JACK RYAN HUDKINS MD
Surgery
2820 E ROCK HAVEN ROAD, SUITE 210
HARRISONVILLE, MO 64701
Cass County (816) 380-2446
WALTER WOOLFOLK COSTNER M.D.
Surgery
2820 E ROCK HAVEN ROAD, SUITE 210
HARRISONVILLE, MO 64701
Cass County (816) 380-2446
CASS REGIONAL MEDICAL CENTER
Clinic/Center (Rural Health)
2820 E ROCK HAVEN ROAD, SUITE 210
HARRISONVILLE, MO 64701
Cass County (816) 380-7470
SAMUEL DEAN BREWSTER M.D.
Family Medicine
2820 E ROCK HAVEN ROAD, SUITE 210
HARRISONVILLE, MO 64701
Cass County (816) 380-7470

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Cass Regional Medical Center's NPI number?

The NPI number for Cass Regional Medical Center is 1104061977. It was assigned to this organization in the NPPES registry on December 9, 2008. The provider is doing business as Harrisonville Medical Clinic.

Where is Cass Regional Medical Center located?

Cass Regional Medical Center is located at 2820 E Rock Haven Road Suite 210, Harrisonville, MO 64701. The listed phone number is (816) 380-7470.

What is Cass Regional Medical Center's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Primary Care, with taxonomy code 261QP2300X.

Does Cass Regional Medical Center hold CLIA laboratory certificates?

Yes. 2 active CLIA laboratory certificates are associated with this NPI under the federal Clinical Laboratory Improvement Amendments program. The certificates are listed in the CLIA Laboratory Certificates section above.

When was this NPI record last updated?

The NPPES record for Cass Regional Medical Center was last updated on May 6, 2011. NPI Profile syncs with the weekly NPPES data releases published by CMS.