CENTRAL KANSAS MEDICAL PARK ANCILLARY SERVICES, P.A. (NPI# 1710988134) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1710988134 |
| Entity Type | Organization |
| Organization Name | CENTRAL KANSAS MEDICAL PARK ANCILLARY SERVICES, P.A. |
| Practice Address |
1309 Polk St Great Bend KS 67530-3618 |
| Practice Telephone | 6207935404 |
| Practice Fax Number | 6207922665 |
| Mailing Telephone | 6207935404 |
| Mailing Fax Number | 6207922665 |
| Enumeration Date | 2005-08-09 |
| Last Update Date | 2013-04-01 |
| Authorized Official Name | PERRY M SMITH (PRESIDENT) |
| Authorized Official Telephone | 6207935404 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 291U00000X | Clinical Medical Laboratory | Laboratories |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| KS | 100245710A | 05 | |
| KS | BLUE SHIELD | 016144 | 01 |
| Street Address |
1309 POLK ST |
| City | GREAT BEND |
| State | KS |
| Zip Code | 67530-3618 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124029392 | Perry M Smith | Family Medicine | 1309 Polk St, Great Bend, KS 67530-3618 | 2005-08-09 |
| 1073003992 | Ukhs Great Bend, LLC | Clinic/Center | 1309 Polk St, Great Bend, KS 67530-3644 | 2018-05-16 |
| 1891176707 | Jonathan Pike | Family Medicine | 1309 Polk St, Great Bend, KS 67530-3644 | 2015-06-16 |
| 1780922773 | Great Bend Regional Hospital, LLC | Radiology | 1309 Polk St, Great Bend, KS 67530-3644 | 2013-01-25 |
| 1174606826 | Charles R Keener | Emergency Medicine | 1309 Polk St, Great Bend, KS 67530 | 2006-10-23 |
| 1568425270 | Elise E Snapp | Family Medicine | 1309 Polk St, Great Bend, KS 67530 | 2006-04-11 |
| 1134120652 | Jeffrey E Brozek | Family Medicine | 1309 Polk St, Great Bend, KS 67530-3618 | 2005-08-09 |
| 1891796231 | Teri L Turkle-huslig | Family Medicine | 1309 Polk St, Great Bend, KS 67530-3618 | 2005-08-09 |
| 1235130675 | Central Kansas Family Practice, P.a. | Family Medicine | 1309 Polk St, Great Bend, KS 67530-3618 | 2005-08-09 |
| 1952302226 | Kathleen A Kottas | Nurse Practitioner | 1309 Polk St, Great Bend, KS 67530-3618 | 2005-08-09 |
| 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 | 291U00000X |
| Grouping | Laboratories |
| Classification | Clinical Medical Laboratory |
| (1) A clinical laboratory is a facility for the biological, microbiological, serological, chemical, immunohematological, hematological, biophysical, cytological, pathological, or other examination of materials derived from the human body for the purpose of providing information for the diagnosis, prevention, or treatment of any disease or impairment of, human beings. These examinations also include procedures to determine, measure, or otherwise describe the presence or absence of various substances or organisms in the body. Facilities only collecting or preparing specimens (or both) or only serving as a mailing service and not performing testing are not considered clinical laboratories. (2) Any facility that examines materials from the human body for purposes of providing information for the diagnosis, prevention, or treatment of any disease or impairment of, or the assessment of, the health of human beings. Typical divisions of a clinical laboratory include hematology, cytology, bacteriology, histology, biochemistry, medical toxicology, and serology. |
| Notes: Source: (1) Code of Federal Regulations #42, Public Health, Section 493.2. (2) ) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 186. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316344468 | St Rose Health Center LLC | Clinical Medical Laboratory | 3515 Broadway Ave, Great Bend, KS 67530-3633 | 2014-12-04 |
| 1902191364 | Central Kansas Medical Center | Clinical Medical Laboratory | 3515 Broadway Ave, Great Bend, KS 67530-3633 | 2011-06-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497354575 | Lifetech Sciences LLC | Clinical Medical Laboratory | 2301 Nw Furman Rd Ste 100, Topeka, KS 66618-2845 | 2020-10-20 |
| 1811510027 | Clinical Reference Laboratory, Inc. | Clinical Medical Laboratory | 1121 W Old Highway 56, Olathe, KS 66061-5256 | 2020-05-21 |
| 1124667951 | Sinochips Kansas LLC | Clinical Medical Laboratory | 2002 W 39th Ave Ste G029, Kansas City, KS 66103-2943 | 2019-12-26 |
| 1346725637 | Excel Clinical Laboratory Service | Clinical Medical Laboratory | 1133 College Ave Ste 145, Manhattan, KS 66502-2770 | 2018-10-02 |
| 1023517174 | Laboratory Corporation of America Holdings | Clinical Medical Laboratory | 3243 E Murdock Street, Level G, Wichita, KS 67214 | 2018-02-05 |
| 1831612670 | 4m Healthcare, LLC | Clinical Medical Laboratory | 15110 Glenwood Ave, Overland Park, KS 66223-3338 | 2017-07-24 |
| 1750753232 | Accurate Sleep Lab | Clinical Medical Laboratory | 411 S Pattie St Suite 2, Wichita, KS 67211 | 2015-10-23 |
| 1912386491 | Intelligenedx LLC | Clinical Medical Laboratory | 10900 S Clay Blair Blvd, Ste 1400, Olathe, KS 66061-1301 | 2015-05-29 |
| 1164835823 | Central Medical Laboratory, LLC | Clinical Medical Laboratory | 8960 Commerce Dr, Building 6, De Soto, KS 66018 | 2014-06-10 |
| 1891121943 | Laboratory Corporation of America Holdings | Clinical Medical Laboratory | 507 16th Street, Suite #1, Wellington, KS 67152-2828 | 2013-09-20 |
| Find all providers with the same taxonomy | ||||
| City | GREAT BEND |
| Zip Code | 67530 |
Please comment or provide details below to improve the information on CENTRAL KANSAS MEDICAL PARK ANCILLARY SERVICES, P.A..
| 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.