Healthcare Provider Details

I. General information

NPI: 1952229213
Provider Name (Legal Business Name): OLATHE COMMUNITY CLINIC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/06/2026
Last Update Date: 07/06/2026
Certification Date: 07/06/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

87 MERCHANT DR
MONTROSE CO
81401-3015
US

IV. Provider business mailing address

PO BOX 529
OLATHE CO
81425-0529
US

V. Phone/Fax

Practice location:
  • Phone: 970-323-6141
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QF0400X
TaxonomyFederally Qualified Health Center (FQHC)
License Number
License Number State

VIII. Authorized Official

Name: KAYE HOTSENPILLER
Title or Position: COO
Credential:
Phone: 970-323-6141