Organization Name: | ARK CITY CLINIC P A |
NPI Number: | 1164464525 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | CONNIE RUYLE (ASSISTANT ADMINISTRATOR) |
Mailing Address: | 510 W Radio Ln Arkansas City |
State: | KS US |
Postal Code: | 670054011 |
Phone Number: | 6204422100 |
Fax Number: | 6204428945 |
NPI Enumeration Date: | 06/11/2006 |
NPI Last Update Date: | 12/08/2010 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 261QP2300X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | |
Taxonomy Type: | Ambulatory Health Care Facilities |
Taxonomy Classification: | Clinic/Center |
Taxonomy Specialization: | Primary Care |
Taxonomy Definition: |