| Atchison Community Health Clinic Inc | |
|
1412 North 2nd St. Atchison KS 66002 | |
| (913) 367-4879 | |
| (913) 367-0240 |
| Full Name | Atchison Community Health Clinic Inc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 1412 North 2nd St., Atchison, Kansas |
| Authorized Official Name and Position | Allen Bley Reavis (DIRECTOR OF DENTAL SERVICES/DENTIST) |
| Authorized Official Contact | 9133670212 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Atchison Community Health Clinic Inc Po Box 27 Atchison KS 66002 Ph: (913) 367-4879 | Atchison Community Health Clinic Inc 1412 North 2nd St. Atchison KS 66002 Ph: (913) 367-4879 |
| NPI Number | 1265711675 |
|---|---|
| Provider Enumeration Date | 08/16/2011 |
| Last Update Date | 08/16/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1265711675 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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