# SOUTH CENTRAL KANSAS CLINIC LLC

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** SOUTH CENTRAL KANSAS REGIONAL MEDICAL CENTER
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1649682378
- **Legal business name:** SOUTH CENTRAL KANSAS REGIONAL MEDICAL CENTER
- **Authorized official:** SHANON ASHLEY (CREDENTIALING SPECIALIST)
- **Authorized official phone:** (316) 500-1303

## Contact information

- **Practice address:** 515 N SUMMIT ST, ARKANSAS CITY, KS 67005-2227
- **Practice address phone:** (620) 442-4850
- **Practice address fax:** (620) 441-5953
- **Mailing address:** PO BOX 1107, ARKANSAS CITY, KS 67005-1107
- **Mailing address phone:** (620) 442-4850
- **Mailing address fax:** (620) 441-5953

## Taxonomy

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

## Other

- **Enumeration date:** 05/29/2014
- **Last updated:** 09/17/2019