PRATT FAMILY PRACTICE LLC NPI 1740233204

NPI Information

  • NPI: 1740233204
  • Provider Name: PRATT FAMILY PRACTICE LLC
  • Classification: Clinic/Center - 261QR1300X
  • Specialization: Rural Health
  • Entity Type: Organization
  • Doing Business As: PRATT FAMILY PRACTICE
  • CLIA Number: 17D0924852
  • Address: 203 WATSON ST
    SUITE 200
    PRATT, KS
    ZIP 67124
  • Phone: (620) 672-7422

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NPI Details

PRATT FAMILY PRACTICE LLC is a rural health clinic center in Pratt, KS. PRATT FAMILY PRACTICE LLC NPI is 1740233204. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Pratt Family Practice.

The provider's business location address is:

203 WATSON ST
SUITE 200
PRATT, KS
ZIP 67124-066
Phone: (620) 672-7422
Fax: (620) 508-6476

The provider's authorized official is Wakon Fowler .
The authorized official title is Medical Director and has the following contact phone number (620) 672-7422.

The CLIA number assigned to this NPI record is 17D0924852 - physician office with a certificate type of Certificate for Provider-Performed Microscopy Procedures (PPMP).

The enumeration date for this NPI number is 5/18/2006 and was last updated on 7/16/2015.

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
1207Q00000XFamily MedicineNo
2261QR1300XClinic/CenterRural HealthYes

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 Other Provider Identifier Issuer
1178987MEDICARE OSCAR/CERTIFICATIONKANSAS
2110446OTHERKANSASGROUP NUMBER
317-8987OTHERKANSASRHC PROVIDER #

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: 11/21/2025

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