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CENTRAL KANSAS MEDICAL CENTER NPI 1467402040


NPI Information

NPI: 1467402040
Provider Name: CENTRAL KANSAS MEDICAL CENTER

Doing Business As: ST JOSEPH FAMILY MEDICINE/GREAT BEND

Classification: Family Medicine - 207Q00000X
Entity Type: Organization
Address:
3520 LAKIN AVE
SUITE 103
GREAT BEND, KS
ZIP 67530
Phone: (620) 792-3345
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CENTRAL KANSAS MEDICAL CENTER is a family medicine in Great Bend, KS. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. CENTRAL KANSAS MEDICAL CENTER NPI is 1467402040. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As St Joseph Family Medicine/great Bend.

The provider's business location address is:

3520 LAKIN AVE
SUITE 103
GREAT BEND, KS
ZIP 67530-646
Phone: (620) 792-3345
Fax: (620) 792-3767

The provider's authorized official is Scott Taylor .
The authorized official title is Ceo and has the following contact phone number (620) 786-6101.

The enumeration date for this NPI number is 5/12/2006 and was last updated on 10/7/2011.


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
1207Q00000XFamily MedicineYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1100080680DMEDICAIDKANSAS
2110708MEDICARE OSCAR/CERTIFICATIONKANSAS

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: 5/5/2024

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