UKHS GREAT BEND, LLC (NPI# 1710454731) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1710454731 |
Entity Type | Organization |
Organization Name | UKHS GREAT BEND, LLC |
Other Organization Name | GOLDEN BELT HOSPICE |
Practice Address |
3515 Broadway Ave Great Bend KS 67530-3633 |
Practice Telephone | 6207928171 |
Practice Fax Number | 6207923825 |
Mailing Telephone | 6207928171 |
Mailing Fax Number | 6207923825 |
Enumeration Date | 2018-10-29 |
Last Update Date | 2020-03-11 |
Authorized Official Name | JESSE MOCK (ADMINISTRATOR) |
Authorized Official Telephone | 6207916272 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 251G00000X | Hospice Care, Community Based | Agencies |
Other Name | Type Code |
---|---|
Golden Belt Hospice | Doing Business As Name - Organization |
UKHS Great Bend St. Rose Pavilion | Doing Business As Name - Organization |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1275000291 | Ukhs Great Bend, LLC | Home Health | 3515 Broadway Ave Ste 214, Great Bend, KS 67530-3633 | 2018-10-29 |
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 |
1588150635 | Ukhs Great Bend, LLC | Clinic/Center | 3515 Broadway Ave, Great Bend, KS 67530-3633 | 2018-07-02 |
1962997197 | Ukhs Great Bend, LLC | Clinic/Center | 514 Cleveland St, Great Bend, KS 67530-3562 | 2018-06-29 |
1073003992 | Ukhs Great Bend, LLC | Clinic/Center | 1309 Polk St, Great Bend, KS 67530-3644 | 2018-05-16 |
1245720168 | Ukhs Great Bend, LLC | Clinic/Center | 514 Cleveland St, Great Bend, KS 67530-3562 | 2018-05-16 |
1669962593 | Ukhs Great Bend, LLC | General Acute Care Hospital | 514 Cleveland St, Great Bend, KS 67530 | 2018-05-16 |
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 |
1396301867 | 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 |
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 | 251G00000X |
Grouping | Agencies |
Classification | Hospice Care, Community Based |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1720483985 | St Rose Health Center Inc | Hospice Care, Community Based | 3515 Broadway Ave, Suite 214, Great Bend, KS 67530-3633 | 2014-10-30 |
1265536510 | Central Kansas Medical Center | Hospice Care, Community Based | 3520 Lakin, Great Bend, KS 67530-3646 | 2006-09-08 |
NPI | Name | Taxonomy | Address | Enumeration |
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1427655752 | Novus Lifecare Hospice of Kansas LLC | Hospice Care, Community Based | 1333 Meadowlark Ln Ste 204, Kansas City, KS 66102-1200 | 2020-10-09 |
1295332443 | Trinity United, LLC | Hospice Care, Community Based | 3711 N Ohio St, Salina, KS 67401-9545 | 2020-10-01 |
1700413119 | Lumicare Hospice, LLC | Hospice Care, Community Based | 7500 College Blvd Fl 5, Overland Park, KS 66210-4035 | 2020-03-25 |
1073149217 | Prairie Wind Hospice LLC | Hospice Care, Community Based | 606 High St, Baldwin City, KS 66006 | 2020-03-19 |
1689209025 | Horton House Co. | Hospice Care, Community Based | 1126 Horton St, Fort Scott, KS 66701-2450 | 2020-03-05 |
1952958241 | Appl Orchard Hospice of Kansas Inc | Hospice Care, Community Based | 7730 Hedge Lane Ter, Shawnee, KS 66227-3017 | 2019-08-21 |
1093362378 | Inspire Hospice, LLC | Hospice Care, Community Based | 11827 W 112th St Ste 100, Overland Park, KS 66210-2726 | 2019-08-21 |
1558916510 | Tolulope Adenike Kadiri | Hospice Care, Community Based | 2355 S Bedford St, Wichita, KS 67207-6303 | 2019-08-07 |
1275190282 | Ourkansas Guardian Hospice LLC | Hospice Care, Community Based | 2312 S Meridian Ave Ste 104, Wichita, KS 67213-1912 | 2019-05-24 |
1962977017 | Ourkansas Guardian LLC | Hospice Care, Community Based | 11715 E Crestwood St, Wichita, KS 67206-5503 | 2018-10-04 |
Find all providers with the same taxonomy |
City | GREAT BEND |
Zip Code | 67530 |
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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.