Basham Clinic, P.a.
Organization Active NPI Family Medicine Physician · Eureka, KS
NPI 1124407341 · NPPES record last updated May 20, 2015
Key facts
- NPI
- 1124407341
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Family Medicine Physician 207Q00000X
- License
- 04-28069 (KS)
- Legal business name
- BASHAM CLINIC, P.A.
- Practice address
- 100 E 16TH St
Eureka, KS 67045-1067 - Phone
- (620) 750-0099
- Fax
- (620) 583-6397
- NPI assigned
- May 20, 2015
- Organization subpart
- No
Authorized official
- Name
- Mark A Basham, MD
- Title
- Owner
- Phone
- (620) 750-0099
National Provider Directory
Locations
100 E 16th St
Eureka, KS 67045
Phone (620) 583-7451
800 N Main St
Eureka, KS 67045
Phone (620) 583-5200
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician |
207Q00000X | 04-28069 | KS | Yes |
Addresses
Primary practice location
100 E 16TH St
Eureka, KS 67045-1067
Mailing address
PO Box 63
Andover, KS 67002-0063
Phone (316) 633-4413
Other providers in Eureka, KS
- Anesthesia and Pain Management Consultants
- Apollo Services Inc
- Shannon Barus
- Mark A Basham
- Isaac Boone
- Burke Chiropractic LLC
- Sarah Lynn Burke
- Carearc, Inc.
All providers in Eureka, KS · Family Medicine Physician in Kansas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 20, 2015. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.