Organization Active NPI

Clay Center Family Physicians PA

Doing business as Clyde Family Physicians

  • Health Service Clinic/Center
  • Clyde, KS
National Provider Identifier
1376546085
Registry record updated Nov 19, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Health Service Clinic/CenterTaxonomy code 261QH0100X
Legal business name
CLAY CENTER FAMILY PHYSICIANS PA
Doing business as
Clyde Family Physicians
Practice address
815 Campbell Ave
Clyde, KS 66938-9428
Phone
(785) 446-2226
NPI assigned
May 27, 2005
Last updated
Nov 19, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 19, 2010

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

Authorized official

Name
Roxanne Schottel
Title
Administrative Supervisor
Phone
(785) 632-2181

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Health Service Clinic/Center 261QH0100X Primary

Addresses

Primary practice location

815 Campbell Ave
Clyde, KS 66938-9428

Mailing address

609 Liberty St
Clay Center, KS 67432-1564
Phone (785) 632-2181

Other names 1

  • Clyde Family Physicians Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1117152000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1290124800000",
    "number": "1376546085",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "609 LIBERTY ST",
            "city": "CLAY CENTER",
            "state": "KS",
            "postal_code": "674321564",
            "telephone_number": "785-632-2181",
            "fax_number": "785-632-2309"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "815 CAMPBELL AVE",
            "city": "CLYDE",
            "state": "KS",
            "postal_code": "669389428",
            "telephone_number": "785-446-2226"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CLAY CENTER FAMILY PHYSICIANS PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-05-27",
        "last_updated": "2010-11-19",
        "status": "A",
        "authorized_official_last_name": "SCHOTTEL",
        "authorized_official_first_name": "ROXANNE",
        "authorized_official_title_or_position": "ADMINISTRATIVE SUPERVISOR",
        "authorized_official_telephone_number": "785-632-2181"
    },
    "taxonomies": [
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Clyde Family Physicians",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Clyde, KS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 19, 2010; 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.