UKHS GREAT BEND LLC NPI 1992272918

NPI Information

UKHS GREAT BEND, LLC is a general practice in Great Bend, KS. The provider is a physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee UKHS GREAT BEND, LLC NPI is 1992272918. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Ukhs St. Rose Health Center.

The provider's business location address is:

3515 BROADWAY AVE
GREAT BEND, KS
ZIP 67530-633
Phone: (620) 786-6163
Fax: (620) 786-6298

The provider's authorized official is Jesse Mock .
The authorized official title is Ceo and has the following contact phone number (620) 791-6272.

The CLIA number assigned to this NPI record is 17D0452730 - rural health clinic with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 10/29/2018 and was last updated on 3/11/2020.

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:

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.