NPIMap

Organization Active NPI

Atchison Community Health Clinic Inc

Doing business as ACHC-Topeka

  • Federally Qualified Health Center (FQHC)
  • Topeka, KS
National Provider Identifier
1992543466
Registry record updated Nov 12, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Federally Qualified Health Center (FQHC)Taxonomy code 261QF0400X
Legal business name
ATCHISON COMMUNITY HEALTH CLINIC INC
Doing business as
ACHC-Topeka
Practice address
3164 SE 6TH Ave
Topeka, KS 66607-2204
Phone
(785) 233-5116
Fax
(785) 233-2800
NPI assigned
Jul 18, 2024
Last updated
Nov 12, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 12, 2024

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

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X NU
Federally Qualified Health Center (FQHC) 261QF0400X NU Primary

Addresses

Primary practice location

3164 SE 6TH Ave
Topeka, KS 66607-2204

Mailing address

3164 SE 6TH Ave
Topeka, KS 66607-2204
Phone (785) 233-5116

Other names 1

  • ACHC-Topeka Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KS

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20150216000726 KS Part B Supplier - Clinic/Group Practice 6002131091 Receives reassigned benefits from 9 practitioners
3 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Atchison, KS; Leavenworth, KS; Topeka, KS

Other NPIs on the same Medicare enrollment 3

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

National Provider Directory

National Provider Directory
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.

Locations

3164 SE 6th Ave
Topeka, KS 66607
Phone (785) 233-0956

Practitioners & affiliated clinicians

Practitioners 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1721260800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1731369600000",
    "number": "1992543466",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3164 SE 6TH AVE",
            "city": "TOPEKA",
            "state": "KS",
            "postal_code": "666072204",
            "telephone_number": "785-233-5116",
            "fax_number": "785-233-2800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3164 SE 6TH AVE",
            "city": "TOPEKA",
            "state": "KS",
            "postal_code": "666072204",
            "telephone_number": "785-233-5116",
            "fax_number": "785-233-2800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ATCHISON COMMUNITY HEALTH CLINIC INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-07-18",
        "last_updated": "2024-11-12",
        "certification_date": "2024-11-12",
        "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": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "261QF0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Federally Qualified Health Center (FQHC)",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "ACHC-Topeka",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Topeka, KS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 12, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.