CANUCK MEDICAL CLINIC – NPI #1477780955
Clinic/Center

CANUCK MEDICAL CLINIC is an AHC clinic located in LIBERAL, KS. NPPES has assigned the NPI number 1477780955 to CANUCK MEDICAL CLINIC on June 11, 2009. It is a Type-2 NPI, indicating this NPI number is associated with an organization. Since the name “CANUCK MEDICAL CLINIC” is a dba name, the actual legal business name for this organization is SOUTHWEST MEDICAL CENTER. The primary taxonomy selected by this provider is 261QP2300X from the Health Care Provider Taxonomy code set, which is classified as Clinic/Center, specializing in Primary Care

The NPI profile was previously updated about 16 years ago on Mar 17, 2010. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for CANUCK MEDICAL CLINIC below.

NPI Profile for
SOUTHWEST MEDICAL CENTER

NPI Number
1477780955
Enumeration Date

(more than 17 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
SOUTHWEST MEDICAL CENTER
Doing Business As (dba): CANUCK MEDICAL CLINIC
Primary location
1411 W. 15TH STREET
STE. 102
LIBERAL, KS 67901
Phone: (620) 624-0142 Fax: (620) 624-0142
Mailing address
PO BOX 188
LIBERAL, KS 67905
Phone: (620) 624-0142 Fax: (620) 624-2660
Organization Subpart
Yes - CANUCK MEDICAL CLINIC is subpart of another organization.
Authorized Official
NORMAN LAMBERT
CEO/PRESIDENT
Phone: (620) 624-1651
Updated
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
261QP2300X
- Clinic/Center / Primary Care (Primary)		 KS

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.