Provider Demographics
NPI:1609961234
Name:ASHLEY BUILDING CORPORATION
Entity Type:Organization
Organization Name:ASHLEY BUILDING CORPORATION
Other - Org Name:ASHLEY CLINIC PHARMACY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PHYSICIAN OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:ROBERT
Authorized Official - Middle Name:K
Authorized Official - Last Name:THOMEN
Authorized Official - Suffix:II
Authorized Official - Credentials:MD
Authorized Official - Phone:620-431-2500
Mailing Address - Street 1:505 S PLUMMER AVE
Mailing Address - Street 2:
Mailing Address - City:CHANUTE
Mailing Address - State:KS
Mailing Address - Zip Code:66720-1950
Mailing Address - Country:US
Mailing Address - Phone:620-431-2510
Mailing Address - Fax:620-431-4094
Practice Address - Street 1:505 S PLUMMER AVE
Practice Address - Street 2:
Practice Address - City:CHANUTE
Practice Address - State:KS
Practice Address - Zip Code:66720-1950
Practice Address - Country:US
Practice Address - Phone:620-431-2510
Practice Address - Fax:620-431-4094
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-10-03
Last Update Date:2021-05-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy
No332B00000XSuppliersDurable Medical Equipment & Medical Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
KS100444180BMedicaid
KS1278620002Medicare NSC
KS000050071Medicare ID - Type Unspecified