NPIMap

Organization Active NPI

Racy'S Medical Clinic

  • Primary Care Clinic/Center
  • Cimarron, KS
National Provider Identifier
1891054474
Registry record updated May 16, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
License
5344884111 Issued in KS
Legal business name
RACY'S MEDICAL CLINIC
Practice address
107 North Main Street
Cimarron, KS 67835-0646
Phone
(620) 855-4616
Fax
(620) 855-4613
NPI assigned
May 16, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 16, 2012

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

Authorized official

Name
Mr. Randall Keith Cundiff, APRNNPI 1104877760
Title
Owner
Phone
(620) 855-4616

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Clinic/Center 261QP2300X 5344884111 KS Primary

Addresses

Primary practice location

107 North Main Street
Cimarron, KS 67835-0646

Mailing address

107 North Main Street
Cimarron, KS 67835-0646
Phone (620) 855-4616

National Provider Directory

National Provider Directory
Tax ID family
Racy'S Medical Clinic2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1337126400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1337126400000",
    "number": "1891054474",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "107 NORTH MAIN STREET",
            "city": "CIMARRON",
            "state": "KS",
            "postal_code": "678350646",
            "telephone_number": "620-855-4616",
            "fax_number": "620-855-4613"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "107 NORTH MAIN STREET",
            "city": "CIMARRON",
            "state": "KS",
            "postal_code": "678350646",
            "telephone_number": "620-855-4616",
            "fax_number": "620-855-4613"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RACY'S MEDICAL CLINIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-05-16",
        "last_updated": "2012-05-16",
        "status": "A",
        "authorized_official_last_name": "CUNDIFF",
        "authorized_official_first_name": "RANDALL",
        "authorized_official_middle_name": "KEITH",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "620-855-4616",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "APRN"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "KS",
            "license": "5344884111",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cimarron, KS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 16, 2012; 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.