Organization · Type 2 NPI

Great Bend Regional Hospital, LLC

Clinical Medical Laboratory · Great Bend, KS

NPI number 1780922773 Active

Practice location

1309 Polk St
Great Bend, KS 67530-3644

Fax (620) 792-2665

Specialties and licenses

Taxonomy	Code	License
Diagnostic Radiology Physician	2085R0202X	106062 (KS)
Clinical Medical Laboratory Primary	291U00000X	17D0452731 (KS)

Clinical Medical Laboratory: (1) A clinical laboratory is a facility for the biological, microbiological, serological, chemical, immunohematological, hematological, biophysical, cytological, pathological, or other examination of materials derived from the human body for the purpose of providing information for the diagnosis, prevention, or treatment of any disease or impairment of, human beings. These examinations also include procedures to det…

6 other providers at this address

Other clinical medical laboratory providers in Great Bend

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NPI record

NPI: 1780922773
Entity type: Organization (Type 2)
Issued: Jan 25, 2013
Last updated: Mar 10, 2016
Status: Active
Subpart: Yes of Great Bend Regional Hospital, LLC

Other names

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Central Kansas Medical Park Ancillary Service · doing business as

Authorized official

Mr. Robert E Baum
Administrator
(620) 792-5341

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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 1780922773

Great Bend Regional Hospital, LLC's National Provider Identifier is 1780922773, issued on Jan 25, 2013. The primary taxonomy on file is Clinical Medical Laboratory (291U00000X), and the practice location is in Great Bend, KS. The record was last updated on Mar 10, 2016.