Augusta Family Practice
Organization Active NPI Family Nurse Practitioner · Augusta, KS
NPI 1619375342 · NPPES record last updated Dec 11, 2014
Key facts
- NPI
- 1619375342
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Family Nurse Practitioner 363LF0000X
- License
- 5376107 (KS)
- Legal business name
- AUGUSTA FAMILY PRACTICE
- Practice address
- 1306 State St
Augusta, KS 67010-1126 - Phone
- (316) 775-9191
- Fax
- (316) 775-0348
- NPI assigned
- Dec 11, 2014
- Organization subpart
- No
Authorized official
- Name
- Amanda Johnson
- Title
- Coo
- Phone
- (316) 775-9191
Corporate family (same tax ID) 1
Practitioners 1
-
Michael A Rausch, M.D.
National Provider Directory
- Tax ID family
- Augusta Family Practice
Locations
1306 State St
Augusta, KS 67010
Phone (316) 775-9191
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner |
363LF0000X | 5376107 | KS | Yes |
Addresses
Primary practice location
1306 State St
Augusta, KS 67010-1126
Mailing address
1306 State St
Augusta, KS 67010-1126
Phone (316) 775-9191
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 100359330B | Medicaid | KS | |
| 100359330A | Medicaid | KS |
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- Augusta Family Denistry PA
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All providers in Augusta, KS · Family Nurse Practitioner in Kansas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 11, 2014. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.