Active NPI
South Central Kansas Clinic LLC
Doing business as SCKC Speciality Clinic
- Rural Health Clinic/Center
- Arkansas City, KS
National Provider Identifier
1548813520
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Rural Health Clinic/Center
- Legal business name
- SOUTH CENTRAL KANSAS CLINIC LLC
- Doing business as
- SCKC Speciality Clinic
- Practice address
- 6403 Patterson Pkwy
Arkansas City, KS 67005-5701 - Phone
- (620) 447-5711
- Fax
- (620) 441-5891
- NPI assigned
- Jul 19, 2019
- Last updated
- Sep 17, 2019
- Organization subpart
- Yes
- Parent organization
- SOUTH CENTRAL KANSAS CLINIC
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Jeff Bowman
- Title
- Ceo
- Phone
- (620) 441-5900
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Multi-Specialty Clinic/Center | 261QM1300X | NU | ||
| Rural Health Clinic/Center | 261QR1300X | NU | Primary |
Addresses
Primary practice location
6403 Patterson Pkwy
Arkansas City, KS 67005-5701
Mailing address
6403 Patterson Pkwy
Arkansas City, KS 67005-5701
Phone (620) 447-5711
Other names 1
- SCKC Speciality Clinic
National Provider Directory
National Provider Directory- Part of
- South Central KS Clinic LLC
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1563494400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1568678400000",
"number": "1548813520",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6403 PATTERSON PKWY",
"city": "ARKANSAS CITY",
"state": "KS",
"postal_code": "670055701",
"telephone_number": "620-447-5711",
"fax_number": "620-441-5891"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6403 PATTERSON PKWY",
"city": "ARKANSAS CITY",
"state": "KS",
"postal_code": "670055701",
"telephone_number": "620-447-5711",
"fax_number": "620-441-5891"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SOUTH CENTRAL KANSAS CLINIC LLC",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "SOUTH CENTRAL KANSAS CLINIC",
"enumeration_date": "2019-07-19",
"last_updated": "2019-09-17",
"status": "A",
"authorized_official_last_name": "BOWMAN",
"authorized_official_first_name": "JEFF",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "620-441-5900"
},
"taxonomies": [
{
"code": "261QM1300X",
"taxonomy_group": "",
"desc": "Clinic/Center, Multi-Specialty",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "261QR1300X",
"taxonomy_group": "",
"desc": "Clinic/Center, Rural Health",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "SCKC Speciality Clinic",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "SCKC Speciality Clinic",
"code": "3",
"type": "Doing Business As"
}
]
}Other providers in Arkansas City, KS
- Kamran Shahzada, M.D.
- Randy Simpson, PA
- Blake Alexander Smith, LAT, ATC, MS
- Madeline Smith, OD
- Daniel J Snowden, DDS
- South Central Kansas Clinic LLC
- South Central Kansas Regional Medical Center
- South Central Kansas Regional Medical Center (SCKC Specialty Clinic)
- South Central Kansas Regional Medical Center (South Central Kansas Medical Center)
- South Central Kansas Regional Medical Center (South Central Kansas Medical Center)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 17, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.