UKHS GREAT BEND, LLC (NPI# 1902462302) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1902462302 |
| Entity Type | Organization |
| Organization Name | UKHS GREAT BEND, LLC |
| Practice Address |
3515 Broadway Ave Great Bend KS 67530-3633 |
| Practice Telephone | 6208676184 |
| Practice Fax Number | 6207936014 |
| Mailing Telephone | 6208676184 |
| Mailing Fax Number | 6207936014 |
| Enumeration Date | 2019-05-13 |
| Last Update Date | 2019-05-13 |
| Authorized Official Name | JESSE MOCK (CEO) |
| Authorized Official Telephone | 6207916272 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207R00000X | Internal Medicine | Allopathic & Osteopathic Physicians |
| 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 |
| 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 |
| 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 |
| 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 |
| 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 | 207R00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003211269 | St Rose Health Center Inc | Internal Medicine | 3515 Broadway Ave, Great Bend, KS 67530-3633 | 2014-10-30 |
| 1619372000 | St Rose Health Center Inc | Internal Medicine | 3515 Broadway Ave, Great Bend, KS 67530-3633 | 2014-10-28 |
| 1639300890 | Kansas Medical Specialists Pa | Internal Medicine | 3720 10th St, Great Bend, KS 67530-3543 | 2009-08-05 |
| 1871545426 | Richard C Preston | Internal Medicine | 3515 Broadway Ave, Suite 107, Great Bend, KS 67530-3633 | 2006-05-16 |
| 1912957580 | Jean Pringle | Internal Medicine | 3515 Broadway Ave, Suite 107, Great Bend, KS 67530-3633 | 2006-05-12 |
| 1326098054 | Central Kansas Medical Center | Internal Medicine | 3515 Broadway Ave, Suite 107, Great Bend, KS 67530-3633 | 2006-05-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679187074 | Heartland Pulmonary and Sleep Medicine, LLC | Internal Medicine | 2600 N Woodlawn Blvd Ste A, Wichita, KS 67220-2729 | 2020-09-02 |
| 1235691221 | American Heart Center Pa | Internal Medicine | 6730 Sw 29th St Ste B, Topeka, KS 66614-5651 | 2019-04-01 |
| 1184109803 | Restoration Health Care LLC | Internal Medicine | 1541 N Lindberg Cir, Wichita, KS 67206-6400 | 2018-09-27 |
| 1376022921 | Donna Griebel | Internal Medicine | 2129 New Hampshire St, Lawrence, KS 66046-3047 | 2018-08-13 |
| 1346739851 | Unity Medical Clinic, LLC | Internal Medicine | 2201 W 25th St Ste U, Lawrence, KS 66047-2957 | 2018-05-09 |
| 1003345786 | Christopher Stefonowicz | Internal Medicine | 7400 State Line Rd # Ms 3009, Prairie Village, KS 66208-3444 | 2017-06-07 |
| 1902333818 | Kyle Timmerman | Internal Medicine | 10504 Cody St Apt 98, Overland Park, KS 66214-2734 | 2017-05-23 |
| 1215469457 | Syeda Mausumee Hussain | Internal Medicine | 11336 W 121st Ter, Overland Park, KS 66213-1978 | 2017-03-28 |
| 1912438136 | Jarrod Michael Cullan | Internal Medicine | 1500 Sw 10thave, Topeka, KS 66604-1353 | 2017-03-21 |
| 1568910768 | Ict Internal Medicine & Pain Management, LLC | Internal Medicine | 8710 W 13th St N, Suite 102, Wichita, KS 67212-6254 | 2016-09-15 |
| 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.