Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Basham Clinic, PA

Organization Family Medicine Physician · NPI 1124407341

Basham Clinic, PA is a Family Medicine Physician in Eureka, Kansas. Licensed in Kansas. Registered with an NPI since 2015.

Licensed in
KS
In the registry since
2015
What do these letters mean?
PA — Professional association
A form of business registration, not a clinical qualification.

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Practice location Address checks out

100 E 16th St
Eureka, KS 67045-1067
Phone: (620) 750-0099
Fax: (620) 583-6397
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence 04-28069 (KS)

Record details

NPI number1124407341
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Mark Basham — Owner · (620) 750-0099
NPI enumeratedMay 20, 2015
Last updated in NPPESMay 20, 2015
Mailing addressPo Box 63, Andover, KS 67002-0063

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