| 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 | Stephen Durkin (EXECUTIVE DIRECTOR) |
| 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. Po Box 27 Atchison KS 66002-0027 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 | 01/11/2024 |
| Medicare PECOS PAC ID | 6002131091 |
|---|---|
| Medicare Enrollment ID | O20150216000726 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1407108335 | NPI | - | NPPES |
| 200738440C | Medicaid | KS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QC1500X | Clinic/center - Community Health | (* (Not Available)) | Secondary |
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | 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 | Leslie Jolene Walters |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1881122984 PECOS PAC ID: 4183924053 Enrollment ID: I20220428000207 |
| Provider Name | Jessica L. Gilbert |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1396301537 PECOS PAC ID: 2163844465 Enrollment ID: I20221104002275 |
| Provider Name | Julie Turner |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1922426519 PECOS PAC ID: 8426280017 Enrollment ID: I20230131001979 |
Hope Family Therapy, Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 104 N 6th St Ste 7, Atchison, KS 66002 Phone: 913-674-0057 Fax: 913-674-5349 | |
Thomas Family Practice, Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1400 N 2nd St, Suite B, Atchison, KS 66002 Phone: 913-367-2578 Fax: 913-367-2589 | |
Stephen W. Wheatley Dc P.a. Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 104 N 6th St, Suite F, Atchison, KS 66002 Phone: 913-367-2269 | |
Wilkinson Orthopedics Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 820 Raven Hill Drive, Suite 107, Atchison, KS 66002 Phone: 913-674-2380 Fax: 913-674-2047 | |
Atchison Family Medicine, P.a. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 820 Raven Hill Drive, Atchison, KS 66002 Phone: 913-367-1623 Fax: 913-367-7297 | |
Amberwell Eighth Street Clinic Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 801 Atchison St, Atchison, KS 66002 Phone: 913-367-5020 Fax: 913-367-1089 |