Organization
CLAY CENTER FAMILY PHYSICIANS PA
Active
Organization
CLAY CENTER FAMILY PHYSICIANS PA
Active
Other names
Clyde Family Physicians
Organization subpart
No
Provider details
NPI number
Authorized official
ROXANNE SCHOTTEL (ADMINISTRATIVE SUPERVISOR)
(785) 632-2181
Entity
Organization
Contact information
Practice address
815 CAMPBELL AVE, CLYDE, KS 66938-9428
(785) 446-2226
Mailing address
609 LIBERTY ST, CLAY CENTER, KS 67432-1564
(785) 632-2181
(785) 632-2309
Taxonomy
Speciality
Code
Description
License number
State
261QH0100X
Health Service Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100002640B
—
KS
Enumeration date
05/27/2005
Last updated
11/19/2010
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