ST ROSE HEALTHCARE CENTER LLC NPI 1336542661

NPI Information

NPI: 1336542661
Provider Name: ST ROSE HEALTHCARE CENTER LLC
Classification: General Practice - 208D00000X
Entity Type: Organization
Address:
3515 BROADWAY AVE
GREAT BEND, KS
ZIP 67530
Phone: (620) 792-2511
Get Directions

ST ROSE HEALTHCARE CENTER LLC is a general practice in Great Bend, KS. ST ROSE HEALTHCARE CENTER LLC NPI is 1336542661. 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 John H Jeter .
The authorized official title is President & Ceo and has the following contact phone number (785) 623-5523.

The enumeration date for this NPI number is 10/1/2014 and was last updated on 10/1/2014.

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	Taxonomy Specialization	License Number	License State	Primary
1	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

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.

« Previous NPI

Next NPI »