OrganizationActive
Montgomery County Community Clinic, Inc
NPI 1285896993 · Primary Care Clinic/Center · Independence, KS
Provider details
- NPI number
- 1285896993
- Entity type
- Organization
- Primary specialty
- Primary Care Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Susan Kleinbeck, Executive Director(620) 331-8190
- License
- NONE REQUIRED (KS)
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
Detailed profile(87/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
17 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
900 W Myrtle St
Suite 105
Independence, KS 67301-3242
Phone: (620) 331-8190
Fax: (620) 652-4143
Street-level locationGet directions
Mailing address
Po Box 612
Independence, KS 67301-0612
Other names (DBA / former)
- Doing business as
- First Presbyterian Church Dba Montgomery County Community Clinic
Registry dates
- Enumerated
- 2008-06-25
- Last updated
- 2008-06-25
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.