NPI Code Detail JSON Logo

1508060864 NPI number — AUGUSTA FAMILY PRACTICE, PA

NPI Number: 1508060864
Health Care Provider/Practitioner: AUGUSTA FAMILY PRACTICE, PA

Information about “1508060864” NPI (AUGUSTA FAMILY PRACTICE, PA) exists in 1508060864 in HTML format HTML  |  1508060864 in plain Text format TXT  |  1508060864 in PDF (Portable Document Format) PDF  |  1508060864 in an XML format XML  formats.

NPI Number : 1508060864 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1508060864",
    "EntityType": "Organization",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": null,
    "IsOrgSubpart": "N",
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": "AUGUSTA FAMILY PRACTICE, PA",
    "LastName": null,
    "FirstName": null,
    "MiddleName": null,
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": null,
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": "6",
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "1306 STATE ST",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "AUGUSTA",
    "MailingAddressStateName": "KS",
    "MailingAddressPostalCode": "67010-1126",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "316-775-9191",
    "MailingAddressFaxNumber": "316-775-0348",
    "FirstLinePracticeLocationAddress": "1306 STATE ST",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "AUGUSTA",
    "PracticeLocationAddressStateName": "KS",
    "PracticeLocationAddressPostalCode": "67010-1126",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "316-775-9191",
    "PracticeLocationAddressFaxNumber": "316-775-0348",
    "EnumerationDate": "06/12/2007",
    "LastUpdateDate": "10/26/2022",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": null,
    "Gender": null,
    "AuthorizedOfficialLastName": "SCHEID",
    "AuthorizedOfficialFirstName": "LYNETTE",
    "AuthorizedOfficialMiddleName": null,
    "AuthorizedOfficialTitle": "CLINIC ADMINISTRATOR",
    "AuthorizedOfficialNamePrefix": null,
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": null,
    "AuthorizedOfficialTelephoneNumber": "316-201-6711",
    "Taxonomies": {
      "Taxonomy": {
        "TaxonomyCode": "261QR1300X",
        "TaxonomyName": "Rural Health Clinic/Center",
        "LicenseNumber": "17D0970229",
        "LicenseNumberStateCode": "KS",
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

Copyright © 2007-2026 Data Labs Health. All rights reserved.