Organization Active NPI

Providence Family Health Care LLC

  • Family Medicine Physician
  • Salina, KS
National Provider Identifier
1104993641
Registry record updated Oct 1, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
0429899 Issued in KS
Legal business name
PROVIDENCE FAMILY HEALTH CARE LLC
Practice address
211 Greenway Rd
Salina, KS 67401-3533
Phone
(785) 309-1166
NPI assigned
Nov 29, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 1, 2008

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Christopher M. Brown, M.D.
Title
Physician
Phone
(785) 827-6400

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X 0429899 KS Primary

Addresses

Primary practice location

211 Greenway Rd
Salina, KS 67401-3533

Mailing address

211 Greenway Rd
Salina, KS 67401-3533
Phone (785) 309-1166

Other identifiers 1

IdentifierTypeStateIssuer
200263350AMedicaidKS

National Provider Directory

National Provider Directory

Locations

520 S Santa Fe Ave
Ste 480
Salina, KS 67401
Phone (785) 827-6400

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1164758400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1222819200000",
    "number": "1104993641",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "211 GREENWAY RD",
            "city": "SALINA",
            "state": "KS",
            "postal_code": "674013533",
            "telephone_number": "785-309-1166"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "211 GREENWAY RD",
            "city": "SALINA",
            "state": "KS",
            "postal_code": "674013533",
            "telephone_number": "785-309-1166"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PROVIDENCE FAMILY HEALTH CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-29",
        "last_updated": "2008-10-01",
        "status": "A",
        "authorized_official_last_name": "BROWN",
        "authorized_official_first_name": "CHRISTOPHER",
        "authorized_official_middle_name": "M.",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "785-827-6400",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "KS",
            "license": "0429899",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200263350A",
            "state": "KS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Salina, KS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 1, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.