Atchison Community Health Clinic Inc

Organization Active NPI General Practice Dentistry · Atchison, KS

NPI 1265711675 · NPPES record last updated Aug 16, 2011

Key facts

NPI
1265711675
Entity type
Organization (NPI type 2)
Primary specialty
General Practice Dentistry 1223G0001X
Legal business name
ATCHISON COMMUNITY HEALTH CLINIC INC
Practice address
1412 North 2ND St.
Atchison, KS 66002
Phone
(913) 367-4879
Fax
(913) 367-0240
NPI assigned
Aug 16, 2011
Organization subpart
No

Authorized official

Name
Allen Bley Reavis, DDS
Title
Director of Dental Services/Dentist
Phone
(913) 367-0212

Corporate family (same tax ID) 4

Organizations that report the same tax identification number in the National Provider Directory.

National Provider Directory

Tax ID family
Atchison Community Inc (5 organizations share this tax ID)

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/CJICAD

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry
Group: 193400000X SINGLE SPECIALTY GROUP
1223G0001X Yes

Addresses

Primary practice location

1412 North 2ND St.
Atchison, KS 66002

Mailing address

PO Box 27
Atchison, KS 66002
Phone (913) 367-4879

Other providers in Atchison, KS

All providers in Atchison, KS · General Practice Dentistry in Kansas

Sources for this page

Verify at the official NPI Registry.