Organization · Type 2 NPI

Central Kansas Medical Center

Clinical Medical Laboratory · Great Bend, KS

NPI number 1902191364 Active

Practice location

3515 Broadway Ave
Great Bend, KS 67530-3633

Fax (620) 786-6298

Specialties and licenses

Taxonomy	Code	License
Clinical Medical Laboratory Primary	291U00000X	17D0452730 (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…

90 other providers at this address

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NPI record

NPI: 1902191364
Entity type: Organization (Type 2)
Issued: Jun 14, 2011
Last updated: Jun 14, 2011
Status: Active
Subpart: Yes of Catholic Health Initiatives

Other names

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St. Rose Laboratory Services · other name

Authorized official

Bruce B Weddell
Chief Financial Officer
(620) 786-6643

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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 1902191364

Central Kansas Medical Center's National Provider Identifier is 1902191364, issued on Jun 14, 2011. 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 Jun 14, 2011.