Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.

Basham Clinic, PA

Organization Family Medicine Physician · NPI 1124407341

Basham Clinic, PA provides Family Medicine Physician services 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 Not confirmed with CMS for 11 years — call before visiting
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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