GREAT BEND CHILDRENS CLINIC PA is a rural health clinic center in Great Bend, KS. GREAT BEND CHILDRENS CLINIC PA NPI is 1619955853. The provider is registered as an organization entity type.
The provider's business location address is:
1021 EISENHOWER AVE
GREAT BEND CHILDREN'S CLINIC
GREAT BEND, KS
ZIP 67530-213
Phone: (620) 792-5437
Fax: (620) 793-5245
The provider's authorized official is John T. Edmonds .
The authorized official title is Practice Administrator and has the following contact phone number (620) 792-5437.
The CLIA number assigned to this NPI record is 17D0667345 - physician office with a certificate type of Certificate of Waiver.
The enumeration date for this NPI number is 1/6/2006 and was last updated on 10/12/2010.