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CRG MD PA NPI 1174827646


NPI Information

NPI: 1174827646
Provider Name: CRG MD PA

Doing Business As: SALINA WOMEN'S CLINIC

Classification: Obstetrics & Gynecology - 207V00000X
Entity Type: Organization

CLIA Number: 17D0911312

Address:
135 E CLAFLIN AVE
SALINA, KS
ZIP 67401
Phone: (785) 827-7996
Get Directions

CRG MD PA is an obstetrics gynecology in Salina, KS. The provider is an obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women. CRG MD PA NPI is 1174827646. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Salina Women's Clinic.

The provider's business location address is:

135 E CLAFLIN AVE
SALINA, KS
ZIP 67401-145
Phone: (785) 827-7996
Fax: (785) 825-4490

The provider's authorized official is Christopher Ross Graber .
The authorized official title is Owner and has the following contact phone number (785) 827-7996.

The CLIA number assigned to this NPI record is 17D0911312 - physician office with a certificate type of Certificate for Provider-Performed Microscopy Procedures (PPMP).

The enumeration date for this NPI number is 12/27/2010 and was last updated on 12/29/2011.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207V00000XObstetrics & Gynecology0432190KANSASYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1200612390BMEDICAIDKANSAS

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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