CLYDE FAMILY PHYSICIANS
NPI 1376546085
Clinic/Center - Health Service in Clyde, KS

Active since May 27, 2005CLIA 17D0705884 · Waiver
815 CAMPBELL AVE, CLYDE, KS 66938(785) 446-2226 Get Directions Write a Review

NPPES record last updated: November 19, 2010. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Clyde Family Physicians NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

CLYDE FAMILY PHYSICIANS (NPI 1376546085) is a healthcare organization registered as a health service in Clyde, Kansas and active in the NPI registry since May 2005. The organization holds a CLIA Waiver certificate valid through August 31, 2026 and lists Roxanne Schottel, Administrative Supervisor, as its authorized official.

NPPES Registry Identity

NPI1376546085
Entity TypeOrganization
Primary Taxonomy261QH0100X
Legal Business NameCLAY CENTER FAMILY PHYSICIANS PA
Location Address815 CAMPBELL AVEClyde, KS 66938-9428
Mailing Address609 Liberty StClay Center, KS 67432-1564 · (785) 632-2181 · Fax (785) 632-2309
Organization SubpartNo
Authorized OfficialRoxanne SchottelAdministrative Supervisor · (785) 632-2181
Enumeration DateMay 27, 2005
Last NPPES UpdateNovember 19, 2010
NPI 1376546085 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyClinic/Center · Health ServiceAmbulatory Health Care Facilities
Taxonomy Code261QH0100X
815 CAMPBELL AVE, Clyde, KS 66938

Other Names 1

Doing Business AsClyde Family Physicians

Other Identifiers 2

Medicare ID-Type Unspecified173856KS
Medicaid100002640BKS

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 17D0705884

Clyde Family Physicians · Clyde, KS
Active · expires Aug 31, 2026
CLIA Number17D0705884
Laboratory TypeRural Health Clinic
Certificate Effective DateSeptember 1, 2024
Certificate Expiration DateAugust 31, 2026
Laboratory DirectorSusan L. Speaks
Laboratory Phone(785) 446-2226
Laboratory LocationClyde Family Physicians105 N High Street, Clyde, KS 66938
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Clay Center Family Physicians PA's NPI number?

The NPI number for Clay Center Family Physicians PA is 1376546085. It was assigned to this organization in the NPPES registry on May 27, 2005. The provider is doing business as Clyde Family Physicians.

Where is Clay Center Family Physicians PA located?

Clay Center Family Physicians PA is located at 815 Campbell Ave, Clyde, KS 66938. The listed phone number is (785) 446-2226.

What is Clay Center Family Physicians PA's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Health Service, with taxonomy code 261QH0100X.

Does Clay Center Family Physicians PA hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 17D0705884) is associated with this NPI, valid through August 31, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Clay Center Family Physicians PA was last updated on November 19, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.