| Basham Clinic, P.a. | |
|
100 E 16th St Eureka KS 67045-1067 | |
| (620) 750-0099 | |
| (620) 583-6397 |
| Full Name | Basham Clinic, P.a. |
|---|---|
| Speciality | Family Medicine |
| Location | 100 E 16th St, Eureka, Kansas |
| Authorized Official Name and Position | Mark A Basham (OWNER) |
| Authorized Official Contact | 6207500099 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Basham Clinic, P.a. Po Box 63 Andover KS 67002-0063 Ph: (316) 633-4413 | Basham Clinic, P.a. 100 E 16th St Eureka KS 67045-1067 Ph: (620) 750-0099 |
| NPI Number | 1124407341 |
|---|---|
| Provider Enumeration Date | 05/20/2015 |
| Last Update Date | 05/20/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1124407341 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 04-28069 (Kansas) | Primary |
Eureka Clinic Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1602 N Elm St Ste B, Eureka, KS 67045 Phone: 620-583-5274 Fax: 620-583-5194 | |
Carearc, Inc. Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1602 N Elm St, Eureka, KS 67045 Phone: 620-583-7436 Fax: 620-583-6848 | |
Basham Clinic Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 100 W 16th St, Eureka, KS 67045 Phone: 620-583-7451 Fax: 620-583-6702 | |
Eureka Clinic Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 100 West 16th St., Eureka, KS 67045 Phone: 620-583-5274 Fax: 620-583-5194 | |
Basham Clinic Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 110 E 16th St, Eureka, KS 67045 Phone: 620-583-7451 Fax: 620-583-6702 |