UKHS GREAT BEND LLC (NPI# 1396301867) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1396301867 |
| Entity Type | Organization |
| Organization Name | UKHS GREAT BEND LLC |
| Practice Address |
3515 Broadway Ave Great Bend KS 67530-3633 |
| Practice Telephone | 6207866163 |
| Mailing Telephone | 6207866117 |
| Enumeration Date | 2019-05-10 |
| Last Update Date | 2019-05-10 |
| Authorized Official Name | JESSE MOCK (CEO) |
| Authorized Official Telephone | 7856569434 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QR0200X |
Clinic/Center Specialization: Radiology |
Ambulatory Health Care Facilities |
| Street Address |
3515 BROADWAY AVE |
| City | GREAT BEND |
| State | KS |
| Zip Code | 67530-3633 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619503117 | Kelsey Renee Harris | Nurse Practitioner | 3515 Broadway Ave, Great Bend, KS 67530-3633 | 2020-03-16 |
| 1821654229 | Ukhs Great Bend, LLC | Family Medicine | 3515 Broadway Ave, Great Bend, KS 67530-3633 | 2019-05-13 |
| 1902462302 | Ukhs Great Bend, LLC | Internal Medicine | 3515 Broadway Ave, Great Bend, KS 67530-3633 | 2019-05-13 |
| 1811553381 | Ukhs Great Bend, LLC | Clinic/Center | 3515 Broadway Ave, Great Bend, KS 67530-3633 | 2019-05-10 |
| 1992272918 | Ukhs Great Bend, LLC | Family Medicine | 3515 Broadway Ave, Great Bend, KS 67530-3633 | 2018-10-29 |
| 1710454731 | Ukhs Great Bend, LLC | Hospice Care, Community Based | 3515 Broadway Ave, Great Bend, KS 67530-3633 | 2018-10-29 |
| 1588150635 | Ukhs Great Bend, LLC | Clinic/Center | 3515 Broadway Ave, Great Bend, KS 67530-3633 | 2018-07-02 |
| 1982152898 | Haley Ann Gleason | Nurse Practitioner | 3515 Broadway Ave, Great Bend, KS 67530-3633 | 2016-09-20 |
| 1669840195 | St. Rose Health Center Inc | Clinic/Center | 3515 Broadway Ave, Great Bend, KS 67530-3633 | 2015-09-15 |
| 1124400361 | St Rose Health Center Inc | Family Medicine | 3515 Broadway Ave, Great Bend, KS 67530-3633 | 2015-06-24 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609488048 | Taryn Mitchell | Pharmacist | 3910 10th St, Great Bend, KS 67530 | 2020-08-18 |
| 1972113678 | Sarah Schenek | Counselor | 1819 11th Street, Great Bend, KS 67530 | 2020-08-06 |
| 1407471840 | Joanne Renee Wondra | Counselor | 801 Patton Road, Great Bend, KS 67530 | 2020-06-11 |
| 1144852302 | Rosenberg Dentistry: Joe Rosenberg Dds. Pa | Dentist | 1037 Sheridan Suite D, Great Bend, KS 67530 | 2020-02-06 |
| 1265895908 | Kayti Trapp | Physical Therapy Assistant | 1514 Ks-96 Hwy, Great Bend, KS 67530 | 2016-03-31 |
| 1083732069 | Drew Andrew Hosman Sr. | Counselor | 1105 Main St Ste D, Great Bend, KS 67530 | 2007-03-27 |
| 1912060435 | Larry G Kutina | Dentist | 3820 6th Street, Great Bend, KS 67530 | 2006-12-18 |
| 1144308883 | Hcc-healthcare of Great Bend, LLC | Skilled Nursing Facility | 1560 K96 Highway, Great Bend, KS 67530 | 2006-11-01 |
| 1841370699 | Edward Lake Jones | Pathology | 2001 Lincoln, Great Bend, KS 67530 | 2006-10-16 |
| 1407955529 | William G Hafner | Chiropractor | 1309 Williams St., Great Bend, KS 67530 | 2006-09-22 |
| Find all providers in zip 67530 | ||||
| Taxonomy Code | 261QR0200X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Radiology |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871990424 | St Rose Health Center Inc | Clinic/Center | 3515 Broadway Ave, Great Bend, KS 67530-3633 | 2014-11-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578178521 | Shawnee Mission Medical Center, Inc. | Clinic/Center | 5675 Roe Blvd, Roeland Park, KS 66205 | 2020-09-15 |
| 1134566870 | College Park Radiology, LLC | Clinic/Center | 11755 W 112th St Ste 202, Overland Park, KS 66210-2742 | 2013-06-03 |
| 1588917454 | Liberal Diagnostics, LLC | Clinic/Center | 23 Professional Drive, Liberal, KS 67901 | 2012-10-17 |
| 1801190558 | St. Francis Health Center, Inc. | Clinic/Center | 601 Sw Corporate View Rd, Topeka, KS 66615-1244 | 2011-01-10 |
| 1699981399 | Vision 2000 LLC | Clinic/Center | 2021 N Amidon Ave Ste 13, Wichita, KS 67203-2100 | 2007-05-16 |
| 1720099039 | Ascension Via Christi Imaging Wichita, LLC | Clinic/Center | 2734 N Woodlawn St, Wichita, KS 67220-2730 | 2006-08-11 |
| 1306857628 | Ascension Via Christi Imaging Wichita, LLC | Clinic/Center | 14700 W Saint Teresa St Ste 150, Wichita, KS 67235-9611 | 2006-08-11 |
| 1609817907 | Diagnostic Ultrasound Services, Inc | Clinic/Center | 7570 W. 21st Street North, Building 1050 Suite D, Wichita, KS 67205 | 2006-06-09 |
| 1710949573 | Open Mri of Kansas City, LLC | Clinic/Center | 4907 Town Center Dr, Leawood, KS 66211-2057 | 2006-04-05 |
| 1114919859 | Diagnostic Ultrasound Services, Inc. | Clinic/Center | 7829 E Rockhill St, Wichita, KS 67206-3914 | 2005-08-18 |
| Find all providers with the same taxonomy | ||||
| City | GREAT BEND |
| Zip Code | 67530 |
Please comment or provide details below to improve the information on UKHS GREAT BEND LLC.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.