| Atchison Community Health Clinic, Inc. | |
|
1412 N 2nd St Atchison KS 66002-1203 | |
| (913) 367-4879 | |
| Not Available |
| Full Name | Atchison Community Health Clinic, Inc. |
|---|---|
| Speciality | Clinic/Center |
| Location | 1412 N 2nd St, Atchison, Kansas |
| Authorized Official Name and Position | Brandi Oom (CEO) |
| Authorized Official Contact | 9133674879 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Atchison Community Health Clinic, Inc. 1412 N 2nd St Atchison KS 66002-1203 Ph: (913) 367-4879 | Atchison Community Health Clinic, Inc. 1412 N 2nd St Atchison KS 66002-1203 Ph: (913) 367-4879 |
| NPI Number | 1407108335 |
|---|---|
| Provider Enumeration Date | 10/02/2012 |
| Last Update Date | 09/25/2024 |
| Certification Date | 09/25/2024 |
| Medicare PECOS PAC ID | 6002131091 |
|---|---|
| Medicare Enrollment ID | O20150216000726 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1407108335 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | () | Secondary |
| 261QC1500X | Clinic/center - Community Health | () | Secondary |
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | () | Primary |
| Provider Name | Kerstin M Glynn |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1033148507 PECOS PAC ID: 2567504608 Enrollment ID: I20100127000583 |
| Provider Name | Sarah J Mata |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1417329129 PECOS PAC ID: 9436450814 Enrollment ID: I20151209002389 |
| Provider Name | Cynthia Myers |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1083697031 PECOS PAC ID: 3072880905 Enrollment ID: I20170525001217 |
| Provider Name | Deste D Baptiste |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1639638125 PECOS PAC ID: 4981936473 Enrollment ID: I20191104000548 |
| Provider Name | Julie Turner |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1922426519 PECOS PAC ID: 8426280017 Enrollment ID: I20230131001979 |
| Provider Name | Violet a Gomes |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1609407477 PECOS PAC ID: 2062870058 Enrollment ID: I20230623000898 |
| Provider Name | Caitlin Perry |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1275215022 PECOS PAC ID: 1951763051 Enrollment ID: I20230821002581 |
| Provider Name | Elizabeth Michelle Burden |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1063208874 PECOS PAC ID: 0244746568 Enrollment ID: I20250723000474 |
| Provider Name | Sean Makoto Faulkner |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1306319298 PECOS PAC ID: 5395242168 Enrollment ID: I20251008001202 |
Sundby Dental LLC Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 222 N 7th St, Atchison, KS 66002 Phone: 913-367-3473 |
Atchison Community Health Clinic Inc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1412 North 2nd St., Atchison, KS 66002 Phone: 913-367-4879 Fax: 913-367-0240 |
Atchison Dental Associates 2 PA Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 111 North 5th Street, Atchison, KS 66002 Phone: 913-367-0212 Fax: 913-367-6214 |
Hfd LLC Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 817 Santa Fe St., Atchison, KS 66002 Phone: 913-367-7270 |
John Dolenz Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 817 Santa Fe St, Atchison, KS 66002 Phone: 913-367-7270 Fax: 913-367-3777 |
Atchison Dental Associates PA Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 111 N 5th St, Atchison, KS 66002 Phone: 913-367-0212 Fax: 913-367-6214 |