Provider Demographics
NPI:1487192845
Name:CLAY COUNTY MEDICAL CENTER
Entity Type:Organization
Organization Name:CLAY COUNTY MEDICAL CENTER
Other - Org Name:RILEY FAMILY PHYSICIANS
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:AUSTIN
Authorized Official - Middle Name:
Authorized Official - Last Name:GILLARD
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:785-632-2144
Mailing Address - Street 1:701 SCHURLE WAY
Mailing Address - Street 2:
Mailing Address - City:RILEY
Mailing Address - State:KS
Mailing Address - Zip Code:66531
Mailing Address - Country:US
Mailing Address - Phone:785-632-2144
Mailing Address - Fax:
Practice Address - Street 1:701 SCHURLE WAY
Practice Address - Street 2:
Practice Address - City:RILEY
Practice Address - State:KS
Practice Address - Zip Code:66531
Practice Address - Country:US
Practice Address - Phone:785-632-2144
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-02-06
Last Update Date:2020-01-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QR1300XAmbulatory Health Care FacilitiesClinic/CenterRural Health