Atchison Community Health Clinic, Inc.

Primary specialty

Federally Qualified Health Center (FQHC)Taxonomy code 261QF0400X

Legal business name

ATCHISON COMMUNITY HEALTH CLINIC, INC.

Practice address

516 Commercial St
Atchison, KS 66002-2419

Phone

(913) 367-4879

Fax

(913) 367-0240

NPI assigned

Oct 2, 2012

Last updated

Oct 6, 2026By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Brandi OomNPI 1275249260

Title

Ceo

Phone

(913) 367-4879

Specialties & licenses 5

Addresses

Medicare fee-for-service enrollment

Enrolled in KS5 enrollments

Enrollment records 5

NPI to CCN mapping 4

The Medicare certification numbers (CCNs) connected to NPI 1407108335. Details of each certification follow.

• CCN 171858 Federally qualified health center · Active · Details
• CCN 171032 Federally qualified health center · Active · Details
• CCN 171035 Federally qualified health center · Active · Details
• CCN 171043 Federally qualified health center · Active · Details

Federally qualified health center certification: CCN 171858

Legal name

ATCHISON COMMUNITY HEALTH CLINIC INC

Doing business as

ATCHISON COMMUNITY HEALTH CLINIC

Certification status

Active

Provider type (POS)

Federally qualified health center

Participating since

Oct 6, 2015

Last certification

Oct 6, 2015

Ownership / control type

For profit – partnership

Organization structure

CorporationNon-profit

Incorporated

Nov 19, 2008 in KS

Enrollment address

1412 N 2ND
Box 27
Atchinson, KS 66002-1203

Federally qualified health center certification: CCN 171032

Legal name

ATCHISON COMMUNITY HEALTH CLINIC INC

Doing business as

ACHC-LEAVENWORTH

Certification status

Active

Provider type (POS)

Federally qualified health center

Participating since

Jan 3, 2025

Last certification

Jan 3, 2025

Ownership / control type

For profit – corporation

Organization structure

CorporationNon-profit

Enrollment address

818 N 7TH St
Leavenworth, KS 66048-1422

Federally qualified health center certification: CCN 171035

Legal name

ATCHISON COMMUNITY HEALTH CLINIC INC

Doing business as

ACHC-TOPEKA

Certification status

Active

Provider type (POS)

Federally qualified health center

Participating since

Feb 13, 2025

Last certification

Feb 13, 2025

Ownership / control type

For profit – corporation

Organization structure

CorporationNon-profit

Enrollment address

3164 SE 6TH Ave
Topeka, KS 66607-2204

Federally qualified health center certification: CCN 171043

Legal name

ATCHISON COMMUNITY HEALTH CLINIC INC

Doing business as

ACHC PRIMARY MEDICAL SERVICE SITE

Certification status

Active

Provider type (POS)

Federally qualified health center

Participating since

Jan 15, 2026

Last certification

Jan 15, 2026

Ownership / control type

For profit – corporation

Organization structure

CorporationNon-profit

Enrollment address

516 Commercial St
Atchison, KS 66002-2419

Other NPIs on the same Medicare enrollment 3

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

• Atchison Community Health Clinic Inc

  dba ACHC Primary Medical Service Site

  • Federally Qualified Health Center (FQHC)
  • Atchison, KS
  • NPI 1619846029

  O20150216000726

  Same enrollment
• Atchison Community Health Clinic Inc

  dba ACHC-Leavenworth

  • Federally Qualified Health Center (FQHC)
  • Leavenworth, KS
  • NPI 1710725288

  O20150216000726

  Same enrollment
• Atchison Community Health Clinic Inc

  dba ACHC-Topeka

  • Federally Qualified Health Center (FQHC)
  • Topeka, KS
  • NPI 1992543466

  O20150216000726

  Same enrollment

Tax ID family

Atchison Community Inc5 organizations share this tax ID, including this one

Other organizations with this tax ID 4

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

• Atchison Community Health Clinic Inc

  • General Practice Dentistry
  • Atchison, KS
  • NPI 1265711675
  NPD tax ID
• Atchison Community Health Clinic Inc

  dba ACHC Primary Medical Service Site

  • Federally Qualified Health Center (FQHC)
  • Atchison, KS
  • NPI 1619846029
  NPD tax ID
• Atchison Community Health Clinic Inc

  dba ACHC-Leavenworth

  • Federally Qualified Health Center (FQHC)
  • Leavenworth, KS
  • NPI 1710725288
  NPD tax ID
• Atchison Community Health Clinic Inc

  dba ACHC-Topeka

  • Federally Qualified Health Center (FQHC)
  • Topeka, KS
  • NPI 1992543466
  NPD tax ID

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

• Atchison Community Health Clinic Inc

  dba ACHC-Leavenworth

  • Federally Qualified Health Center (FQHC)
  • Leavenworth, KS
  • NPI 1710725288

  Member Of

  NPD member

Locations

All disclosed owners & managing parties 18

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

Owners & managing parties with NPI records 1

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

• Taylor Merklein, DDS

  • Dentist
  • Atchison, KS
  • NPI 1336529643

  Other

  CMS ownership

Practitioners 14

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Deste D Baptiste, DNP FNP-C

  • Family Nurse Practitioner
  • Kansas City, KS
  • NPI 1639638125
  Medicare reassignment Care Compare group NPD
• Elizabeth Michelle Burden

  • Family Nurse Practitioner
  • Leavenworth, KS
  • NPI 1063208874
  Medicare reassignment Care Compare group NPD
• Sean Makoto Faulkner, LCPC

  • Professional Counselor
  • Atchison, KS
  • NPI 1306319298
  Medicare reassignment Care Compare group NPD
• Kerstin M Glynn, MD

  • Family Medicine Physician
  • Atchison, KS
  • NPI 1033148507
  Medicare reassignment Care Compare group NPD
• Sarah Jo Mata, NP-C

  • Family Nurse Practitioner
  • Atchison, KS
  • NPI 1417329129
  Medicare reassignment Care Compare group NPD
• Caitlin B Perry, APRN

  • Nurse Practitioner
  • Atchison, KS
  • NPI 1275215022
  Medicare reassignment Care Compare group NPD
• Violet A Gomes, DNP, APRN, NP-C

  • Nurse Practitioner
  • Leavenworth, KS
  • NPI 1609407477
  Medicare reassignment NPD
• Cynthia C Myers, LSCSW

  • Clinical Social Worker
  • Cummings, KS
  • NPI 1083697031
  Medicare reassignment NPD
• Julie Turner

  • Family Nurse Practitioner
  • Atchison, KS
  • NPI 1922426519
  Medicare reassignment NPD
• Brandi Oom, RN

  • Administrator Registered Nurse
  • Atchison, KS
  • NPI 1275249260
  Authorized official Same address or phone
• Kristin Marie George, LMSW

  • Social Worker
  • Atchison, KS
  • NPI 1831827468
  NPD (past)
• Kene Mackenzie, DDS

  • General Practice Dentistry
  • Lawrence, KS
  • NPI 1447322144
  NPD (past)

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

{
    "created_epoch": "1349136000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1791244800000",
    "number": "1407108335",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1412 N 2ND ST",
            "city": "ATCHISON",
            "state": "KS",
            "postal_code": "660021203",
            "telephone_number": "913-367-4879",
            "fax_number": "913-367-0240"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "516 COMMERCIAL ST",
            "city": "ATCHISON",
            "state": "KS",
            "postal_code": "660022419",
            "telephone_number": "913-367-4879",
            "fax_number": "913-367-0240"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1412 N 2nd St",
            "address_purpose": "LOCATION",
            "city": "Atchison",
            "state": "KS",
            "postal_code": "660021203",
            "country_code": "US",
            "telephone_number": "913-367-4879",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3164 SE 6th Ave",
            "address_purpose": "LOCATION",
            "city": "Topeka",
            "state": "KS",
            "postal_code": "666072204",
            "country_code": "US",
            "telephone_number": "785-233-2800",
            "fax_number": "785-233-5116",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "818 N 7th St",
            "address_purpose": "LOCATION",
            "city": "Leavenworth",
            "state": "KS",
            "postal_code": "660481422",
            "country_code": "US",
            "telephone_number": "913-651-8860",
            "fax_number": "913-682-4409",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "ATCHISON COMMUNITY HEALTH CLINIC, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-10-02",
        "last_updated": "2026-10-06",
        "certification_date": "2026-10-06",
        "status": "A",
        "authorized_official_last_name": "OOM",
        "authorized_official_first_name": "BRANDI",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "913-367-4879"
    },
    "taxonomies": [
        {
            "code": "261QC1500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Community Health",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "261QF0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Federally Qualified Health Center (FQHC)",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Amy Andrews, PT
• Joseph Asher, MD
• Atchison City Infant-Toddler Program
• Atchison Community Health Clinic Inc
• Atchison Community Health Clinic Inc (ACHC Primary Medical Service Site)
• Atchison Dental Associates 2 PA
• Atchison Dental Associates PA
• Atchison Eye Center, LLC
• Atchison Family Medicine, P.a.
• Atchison Home Health Equipment, Inc

• Federally Qualified Health Center (FQHC) in Atchison, KS
• Providers in Atchison, KS by specialty
• Federally Qualified Health Center (FQHC) in Kansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 6, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.