MERCY KANSAS COMMUNITIES INC NPI 1467564039

NPI Information

NPI: 1467564039
Provider Name: MERCY KANSAS COMMUNITIES INC

Doing Business As: CHERRYVALE FAMILY MEDICINE

Classification: Clinic/Center - 261QR1300X
Entity Type: Organization

Specialization: Rural Health

Address:
203 W MAIN ST
CHERRYVALE, KS
ZIP 67335
Phone: (620) 336-2132
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MERCY KANSAS COMMUNITIES INC is a rural health clinic center in Cherryvale, KS. MERCY KANSAS COMMUNITIES INC NPI is 1467564039. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Cherryvale Family Medicine.

The provider's business location address is:

203 W MAIN ST
CHERRYVALE, KS
ZIP 67335-332
Phone: (620) 336-2132
Fax: (620) 336-2237

The provider's authorized official is Shelly Hunter .
The authorized official title is Cfo and has the following contact phone number (417) 625-2459.

The enumeration date for this NPI number is 8/31/2006 and was last updated on 9/25/2015.

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 Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363AM0700X	Physician Assistant	Medical	1500335	KANSAS	No
2	261QR1300X	Clinic/Center	Rural Health	1500335	KANSAS	Yes

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 Identifier	Other Provider Identifier Type	Other Provider Identifier State
1	R78608	MEDICARE UPIN	KANSAS
2	173421	MEDICARE OSCAR/CERTIFICATION	KANSAS
3	100089300I	MEDICAID	KANSAS

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: 5/5/2024

NPI Synchronization or Removal

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