ST ROSE HEALTH CENTER INC NPI 1003211269

NPI Information

NPI: 1003211269
Provider Name: ST ROSE HEALTH CENTER INC
Classification: General Practice - 208D00000X
Entity Type: Organization
Address:
3515 BROADWAY AVE
GREAT BEND, KS
ZIP 67530
Phone: (620) 792-2511
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ST ROSE HEALTH CENTER INC is a general practice in Great Bend, KS. ST ROSE HEALTH CENTER INC NPI is 1003211269. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

3515 BROADWAY AVE
GREAT BEND, KS
ZIP 67530-633
Phone: (620) 792-2511

The provider's authorized official is Edward Herrman .
The authorized official title is President and has the following contact phone number (785) 623-5523.

The enumeration date for this NPI number is 10/30/2014 and was last updated on 10/9/2018.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Primary
1	207R00000X	Internal Medicine	No
2	225100000X	Physical Therapist	No
3	207Q00000X	Family Medicine	No
4	208D00000X	General Practice	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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