Provider Demographics
NPI:1619846029
Name:ATCHISON COMMUNITY HEALTH CLINIC INC
Entity type:Organization
Organization Name:ATCHISON COMMUNITY HEALTH CLINIC INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:BRANDI
Authorized Official - Middle Name:
Authorized Official - Last Name:OOM
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:913-367-4879
Mailing Address - Street 1:516 COMMERCIAL ST
Mailing Address - Street 2:
Mailing Address - City:ATCHISON
Mailing Address - State:KS
Mailing Address - Zip Code:66002-2419
Mailing Address - Country:US
Mailing Address - Phone:913-367-4879
Mailing Address - Fax:913-367-0240
Practice Address - Street 1:516 COMMERCIAL ST
Practice Address - Street 2:
Practice Address - City:ATCHISON
Practice Address - State:KS
Practice Address - Zip Code:66002-2419
Practice Address - Country:US
Practice Address - Phone:913-367-4879
Practice Address - Fax:913-367-0240
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-11-03
Last Update Date:2025-11-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QF0400XAmbulatory Health Care FacilitiesClinic/CenterFederally Qualified Health Center (FQHC)