Clay Center Family Physicians PA

Primary specialty

Health Service Clinic/CenterTaxonomy code 261QH0100X

Legal business name

CLAY CENTER FAMILY PHYSICIANS PA

Practice address

815 Campbell Ave
Clyde, KS 66938-9428

Phone

(785) 446-2226

NPI assigned

May 27, 2005

Organization subpart

No

Name

Roxanne Schottel

Title

Administrative Supervisor

Phone

(785) 632-2181

• Clyde Family Physicians Doing business as

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Nov 19, 2010.

{
    "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": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100002640B",
            "state": "KS"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Clyde Family Physicians",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• City of Clyde
• Clay County Medical Center
• Clyde Development Inc
• Stephanie Rose Girard, SLP
• Lauren Hartsook, CCC-SLP
• Cathleen Joyce Kelly, OTRL

• All providers in Clyde, KS
• Health Service Clinic/Center in Kansas

• 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.