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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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207R00000XInternal MedicineNo
2225100000XPhysical TherapistNo
3207Q00000XFamily MedicineNo
4208D00000XGeneral PracticeYes

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: 11/15/2022

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.