# AUGUSTA FAMILY PRACTICE, PA

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Non Rural Health Clinics
- **Organization subpart:** No

## Provider details

- **NPI number:** 1821103987
- **Authorized official:** LYNETTE SCHEID (CLINIC ADMINISTRATOR)
- **Authorized official phone:** (316) 201-6711

## Contact information

- **Practice address:** 1306 STATE ST, AUGUSTA, KS 67010-1126
- **Practice address phone:** (316) 775-9191
- **Practice address fax:** (316) 775-0348
- **Mailing address:** 1306 STATE ST, AUGUSTA, KS 67010-1126
- **Mailing address phone:** (316) 775-9191
- **Mailing address fax:** (316) 775-0348

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | — | NULL | Yes |
| 207Q00000X | Family Medicine Physician | — | — | Yes |

## Other

- **Enumeration date:** 08/20/2006
- **Last updated:** 10/26/2022

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 100359330A | — | KS |