Organization · Type 2 NPI

Central Kansas Medical Center

Specialist · Great Bend, KS

NPI number 1295022358 Active

Practice location

3515 Broadway Ave
Great Bend, KS 67530-3633

Fax (620) 786-6298

Specialties and licenses

Taxonomy	Code	License
Specialist Primary	174400000X	None listed

Specialist: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

90 other providers at this address

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NPI record

NPI: 1295022358
Entity type: Organization (Type 2)
Issued: Jul 8, 2011
Last updated: Mar 15, 2012
Status: Active
Subpart: Yes of Central Kansas Medical Center

Other names

<unavail>
ST Rose Professional Services · doing business as

Authorized official

Mrs. Leanne Irsik
Senior VP/site Administrator
(620) 786-6163

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This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1295022358

Central Kansas Medical Center's National Provider Identifier is 1295022358, issued on Jul 8, 2011. The primary taxonomy on file is Specialist (174400000X), and the practice location is in Great Bend, KS. The record was last updated on Mar 15, 2012.