Healthcare Provider Details

I. General information

NPI: 1366459265
Provider Name (Legal Business Name): MARY CLAIRE BECK ARNP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/02/2006
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

IRWIN ARMY COMMUNITY HOSPITAL, 600 CAISSON HILL RD ATTN MCXX-CLD-QM (CRED) TERRY HILL
FORT RILEY KS
66442-5037
US

IV. Provider business mailing address

IRWIN ARMY COMMUNITY HOSPITAL, 600 CAISSON HILL RD ATTN MCXX-CLD-QM (CRED) TERRY HILL
FORT RILEY KS
66442-5037
US

V. Phone/Fax

Practice location:
  • Phone: 785-239-7155
  • Fax: 785-239-7364
Mailing address:
  • Phone: 785-239-7155
  • Fax: 785-239-7364

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number45038
License Number StateKS
# 2
Primary TaxonomyY
Taxonomy Code363LW0102X
TaxonomyWomen's Health Nurse Practitioner
License Number45038
License Number StateKS

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: