NPIMap

Organization Active NPI

Amberwell Atchison Association

  • Rural Health Clinic/Center
  • Leavenworth, KS
National Provider Identifier
1992420111
Registry record updated Oct 19, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rural Health Clinic/CenterTaxonomy code 261QR1300X
Legal business name
AMBERWELL ATCHISON ASSOCIATION
Practice address
380 Limit St
Leavenworth, KS 66048-4525
Phone
(913) 637-7300
Fax
(913) 674-2030
NPI assigned
Oct 10, 2022
Organization subpart
Yes
Parent organization
AMBERWELL ATCHISON ASSOCIATIONAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Oct 19, 2022

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

Authorized official

Name
Jeffery R Perry
Title
Ceo
Phone
(913) 367-2131

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Rural Health Clinic/Center 261QR1300X Primary

Addresses

Primary practice location

380 Limit St
Leavenworth, KS 66048-4525

Mailing address

800 Ravenhill Dr
Atchison, KS 66002-9204
Phone (913) 367-7300

Other names 1

  • AMBERWELL LEAVENWORTH CLINIC Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Atchison Hosp9 organizations share this tax ID, including this one
Part of
Atchison Hosp

Other organizations with this tax ID 8

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

NPI Registry JSON

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

{
    "created_epoch": "1665360000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1666137600000",
    "number": "1992420111",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "800 RAVENHILL DR",
            "city": "ATCHISON",
            "state": "KS",
            "postal_code": "660029204",
            "telephone_number": "913-367-7300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "380 LIMIT ST",
            "city": "LEAVENWORTH",
            "state": "KS",
            "postal_code": "660484525",
            "telephone_number": "913-637-7300",
            "fax_number": "913-674-2030"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AMBERWELL ATCHISON ASSOCIATION",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "AMBERWELL ATCHISON ASSOCIATION",
        "enumeration_date": "2022-10-10",
        "last_updated": "2022-10-19",
        "certification_date": "2022-10-19",
        "status": "A",
        "authorized_official_last_name": "PERRY",
        "authorized_official_first_name": "JEFFERY",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "913-367-2131"
    },
    "taxonomies": [
        {
            "code": "261QR1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rural Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "AMBERWELL LEAVENWORTH CLINIC",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "AMBERWELL LEAVENWORTH CLINIC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Leavenworth, KS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 19, 2022; 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.