| Atchison Community Health Clinic, Inc. | |
|
1412 N 2nd St Atchison KS 66002-1203 | |
| (913) 367-4879 | |
| Not Available |
| Full Name | Atchison Community Health Clinic, Inc. |
|---|---|
| Speciality | Clinic/Center |
| Location | 1412 N 2nd St, Atchison, Kansas |
| Authorized Official Name and Position | Brandi Oom (CEO) |
| Authorized Official Contact | 9133674879 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Atchison Community Health Clinic, Inc. 1412 N 2nd St Atchison KS 66002-1203 Ph: (913) 367-4879 | Atchison Community Health Clinic, Inc. 1412 N 2nd St Atchison KS 66002-1203 Ph: (913) 367-4879 |
| NPI Number | 1407108335 |
|---|---|
| Provider Enumeration Date | 10/02/2012 |
| Last Update Date | 09/25/2024 |
| Medicare PECOS PAC ID | 6002131091 |
|---|---|
| Medicare Enrollment ID | O20150216000726 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1407108335 | NPI | - | NPPES |
| Provider Name | Kerstin M Glynn |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1033148507 PECOS PAC ID: 2567504608 Enrollment ID: I20100127000583 |
| Provider Name | Sarah J Mata |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1417329129 PECOS PAC ID: 9436450814 Enrollment ID: I20151209002389 |
| Provider Name | Cynthia Myers |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1083697031 PECOS PAC ID: 3072880905 Enrollment ID: I20170525001217 |
| Provider Name | Leslie Jolene Walters |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1881122984 PECOS PAC ID: 4183924053 Enrollment ID: I20220428000207 |
| Provider Name | Jessica L. Gilbert |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1396301537 PECOS PAC ID: 2163844465 Enrollment ID: I20221104002275 |
| Provider Name | Julie Turner |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1922426519 PECOS PAC ID: 8426280017 Enrollment ID: I20230131001979 |
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