# SOUTH CENTRAL KANSAS CLINIC LLC

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** SOUTH CENTRAL KANSAS CLINIC
- **Other names:** SCKC Speciality Clinic
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1548813520
- **Legal business name:** SOUTH CENTRAL KANSAS CLINIC
- **Authorized official:** JEFF BOWMAN (CEO)
- **Authorized official phone:** (620) 441-5900

## Contact information

- **Practice address:** 6403 PATTERSON PKWY, ARKANSAS CITY, KS 67005-5701
- **Practice address phone:** (620) 447-5711
- **Practice address fax:** (620) 441-5891
- **Mailing address:** 6403 PATTERSON PKWY, ARKANSAS CITY, KS 67005-5701
- **Mailing address phone:** (620) 447-5711
- **Mailing address fax:** (620) 441-5891

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QM1300X | Multi-Specialty Clinic/Center | — | NULL | — |
| 261QR1300X | Rural Health Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 07/19/2019
- **Last updated:** 09/17/2019