Organization
ATCHISON COMMUNITY HEALTH CLINIC, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BRANDI OOM (CEO)
(913) 367-4879
Entity
Organization
Contact information
Practice address
1412 N 2ND ST, ATCHISON, KS 66002-1203
(913) 367-4879
Mailing address
1412 N 2ND ST, ATCHISON, KS 66002-1203
(913) 367-4879
(913) 367-0240
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
—
—
261QC1500X
Community Health Clinic/Center
—
—
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
—
—
Other
Enumeration date
10/02/2012
Last updated
09/25/2024
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