Basham Clinic, P.A.
Basham Clinic, P.A. is a healthcare organization registered as Family Medicine Physician in Eureka, KS, holding Type 2 (organization) NPI 1124407341 since 2015. The authorized official on file is Mark Basham, Owner.
✓ Active NPI ✓ Valid NPI checksum
| NPI | 1124407341 |
|---|---|
| Entity type | Organization (Type 2) |
| Legal business name | Basham Clinic, P.A. |
| Practice address | 100 E 16TH ST, Eureka, KS, 67045 |
| Phone | 6207500099 |
| Fax | 6205836397 |
| Enumeration date | 2015-05-20 |
| Last updated in NPPES | 2015-05-20 |
Authorized official
| Name | Mark Basham |
|---|---|
| Title | Owner |
| Phone | 6207500099 |
Taxonomy & classification
| Taxonomy code | Specialty | Primary | License | State |
|---|---|---|---|---|
| 207Q00000X | Family Medicine Physician | Primary | 04-28069 | KS |
Copy-ready billing details
Provider: Basham Clinic, P.A. NPI: 1124407341 Taxonomy: 207Q00000X (Family Medicine Physician) Address: 100 E 16TH ST, Eureka, KS, 67045
Verify this record
Cross-check NPI 1124407341 against the authoritative CMS record: view Basham Clinic, P.A. on the official NPPES registry .
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes — even if the provider moves or changes specialty. Read the full guide or validate an NPI number.
Frequently asked questions
How current is this record?
Where is Basham Clinic, P.A. located?
Source: CMS NPPES (public data). Snapshot 2026-07-11. Provider record last updated 2015-05-20.