CENTRAL KANSAS MEDICAL CENTER (NPI# 1801042353) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1801042353 |
| Entity Type | Organization |
| Organization Name | CENTRAL KANSAS MEDICAL CENTER |
| Other Organization Name | ST. JOSEPH FAMILY MEDICINE - GREAT BEND |
| Practice Address |
3520 Lakin Ave Suite 103 Great Bend KS 67530-3646 |
| Practice Telephone | 6207923345 |
| Practice Fax Number | 6207923767 |
| Mailing Telephone | 6207923767 |
| Mailing Fax Number | 6207923767 |
| Enumeration Date | 2008-08-15 |
| Last Update Date | 2012-11-27 |
| Authorized Official Name | LEANNE IRSIK (SR. VP/SITE ADMINISTRATOR) |
| Authorized Official Telephone | 6207866163 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QR1300X |
Clinic/Center Specialization: Rural Health |
Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| KS | 100080680H | 05 |
| Other Name | Type Code |
|---|---|
| St. Joseph Family Medicine - Great Bend | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366469371 | Central Kansas Medical Center | Home Health | 3520 Lakin, Great Bend, KS 67530-3646 | 2006-07-16 |
| 1043556400 | Central Kansas Medical Center | Family Medicine | 3515 Broadway Ave, Great Bend, KS 67530-3633 | 2012-12-12 |
| 1770834806 | Central Kansas Medical Center | Pathology | 3515 Broadway Ave, Great Bend, KS 67530-3633 | 2012-09-28 |
| 1790046019 | Central Kansas Medical Center | Nurse Anesthetist, Certified Registered | 3515 Broadway Ave, Great Bend, KS 67530-3633 | 2012-06-04 |
| 1730452343 | Central Kansas Medical Center | Clinic/Center | 204 Cleveland St, Great Bend, KS 67530-3563 | 2012-02-13 |
| 1295022358 | Central Kansas Medical Center | Specialist | 3515 Broadway Ave, Great Bend, KS 67530-3633 | 2011-07-08 |
| 1902191364 | Central Kansas Medical Center | Clinical Medical Laboratory | 3515 Broadway Ave, Great Bend, KS 67530-3633 | 2011-06-14 |
| 1548555907 | Central Kansas Medical Center | Clinic/Center | 3515 Broadway Ave, Great Bend, KS 67530-3633 | 2011-06-14 |
| 1275828634 | Central Kansas Medical Center | Clinic/Center | 3515 Broadway Ave, Great Bend, KS 67530-3633 | 2011-06-14 |
| 1265731996 | Central Kansas Medical Center | Clinic/Center | 3515 Broadway Ave, Great Bend, KS 67530-3633 | 2011-03-21 |
| Street Address |
3520 LAKIN AVE SUITE 103 |
| City | GREAT BEND |
| State | KS |
| Zip Code | 67530-3646 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104896992 | Charise R Oelger | Physician Assistant | 3520 Lakin Ave, Ste 103, Great Bend, KS 67530-3660 | 2006-01-24 |
| 1518404318 | Pm Sleep Lab LLC | Clinic/Center | 3520 Lakin Ave, Suite 105, Great Bend, KS 67530-3660 | 2017-01-31 |
| 1922545722 | Advanced Medical Dme LLC | Durable Medical Equipment & Medical Supplies | 3520 Lakin Ave, Suite 110, Great Bend, KS 67530-3660 | 2017-01-31 |
| 1689907172 | Katrina L Hickel | Radiologic Technologist | 3520 Lakin Ave, Great Bend, KS 67530-3660 | 2009-09-15 |
| 1427282425 | Central Kansas Medical Center | Surgery | 3520 Lakin Ave, Ste 102, Great Bend, KS 67530-3660 | 2009-05-06 |
| 1649411158 | Marion Susan Rodgman | General Practice | 3520 Lakin Ave, Suite 103, Great Bend, KS 67530-3660 | 2009-03-12 |
| 1881634970 | Central Kansas Medical Center | Surgery | 3520 Lakin Ave, Suite 102, Great Bend, KS 67530-3660 | 2006-06-07 |
| 1568415396 | Jenny A Manry | Nurse Practitioner | 3520 Lakin Ave, Suite 103, Great Bend, KS 67530-3646 | 2006-05-19 |
| 1871545483 | Debbie Sue Tomlinson | Nurse Practitioner | 3520 Lakin Ave, Suite 103, Great Bend, KS 67530-3660 | 2006-05-16 |
| 1407806078 | Graeme M. Rodgman | Family Medicine | 3520 Lakin Ave, Great Bend, KS 67530-3646 | 2006-05-12 |
| 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 | 261QR1300X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Rural Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588150635 | Ukhs Great Bend, LLC | Clinic/Center | 3515 Broadway Ave, Great Bend, KS 67530-3633 | 2018-07-02 |
| 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 |
| 1265816300 | The Clara Barton Hospital Association, Inc. Hoisington Kansas | Clinic/Center | 1031 Jackson St, Great Bend, KS 67530-4219 | 2015-07-18 |
| 1801022074 | Great Bend Regional Hospital LLC | Clinic/Center | 514 Cleveland St, Great Bend, KS 67530-3562 | 2009-06-02 |
| 1992951446 | Central Kansas Medical Center | Clinic/Center | 3515 Broadway Ave, Suite 107, Great Bend, KS 67530-3633 | 2008-08-15 |
| 1619955853 | Great Bend Childrens Clinic Pa | Clinic/Center | 1021 Eisenhower Ave, Great Bend Children's Clinic, Great Bend, KS 67530-3213 | 2006-01-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083229488 | Haskell Regional Hospital, Inc. | Clinic/Center | 429 Maple St, Chetopa, KS 67336-9101 | 2020-09-11 |
| 1720609738 | Meade Hospital District | Clinic/Center | 304 N Aztec St, Montezuma, KS 67867-8874 | 2020-04-30 |
| 1720639644 | Labette County Medical Center | Clinic/Center | 613 Maple Street, Chetopa, KS 67336 | 2019-09-23 |
| 1134774821 | Morris County Hospital | Clinic/Center | 106 W Mackenzie St, White City, KS 66872-9797 | 2019-08-08 |
| 1487192845 | Clay County Medical Center | Clinic/Center | 701 Schurle Way, Riley, KS 66531 | 2017-02-06 |
| 1295284842 | Coffeyville Regional Medical Center, Inc. | Clinic/Center | 122 W Myrtle St Lowr Level, Independence, KS 67301-3317 | 2016-09-23 |
| 1154787190 | Labette County Medical Center | Clinic/Center | 510 Peter Pan Rd Ste B, Independence, KS 67301-7300 | 2016-01-06 |
| 1326416025 | Morton County Hospital | Clinic/Center | 415 Washington, Rolla, KS 67954 | 2015-09-11 |
| 1083043012 | Cah Acquisition Company 2 LLC | Clinic/Center | 1708 Corning Ave, Parsons, KS 67357 | 2013-11-12 |
| 1003152430 | Rural Health Resources of Jackson Co Inc | Clinic/Center | 323 2nd St, Wetmore, KS 66550-9618 | 2012-12-12 |
| 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 CENTER.
| 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.