| Great Bend Regional Hospital Llc | |
| 
					1309 Polk Great Bend KS 67530  | |
| (620) 792-5341 | |
| (620) 792-3702 | 
| Full Name | Great Bend Regional Hospital Llc | 
|---|---|
| Speciality | Family Medicine | 
| Location | 1309 Polk, Great Bend, Kansas | 
| Authorized Official Name and Position | Perry Milton Smith (MEDICAL DIRECTOR) | 
| Authorized Official Contact | 6207925341 | 
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. | 
| Mailing Address | Practice Location Address | 
|---|---|
| Great Bend Regional Hospital Llc 1309 Polk Great Bend KS 67530 Ph: (620) 792-5341  | Great Bend Regional Hospital Llc 1309 Polk Great Bend KS 67530 Ph: (620) 792-5341  | 
| NPI Number | 1811234818 | 
|---|---|
| Provider Enumeration Date | 01/10/2013 | 
| Last Update Date | 02/12/2013 | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1811234818 | NPI | - | NPPES | 
| 100088870A | Medicaid | KS | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 207Q00000X | Family Medicine | (Kansas) | Primary | 
St Rose Health Center Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 3515 Broadway Ave, Great Bend, KS 67530 Phone: 620-792-2511  | |
Central Kansas Medical Center Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 3515 Broadway Ave, Great Bend, KS 67530 Phone: 620-272-2514  | |
Ukhs Great Bend, Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 3515 Broadway Ave, Great Bend, KS 67530 Phone: 620-792-5341  | |
St Rose Health Center Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 3515 Broadway Ave, Great Bend, KS 67530 Phone: 620-792-2511 Fax: 620-792-3767  | |
Heart Of Kansas Family Health Care, Inc. Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1905 19th St., Great Bend, KS 67530 Phone: 620-792-5700 Fax: 620-792-5742  | |
Central Kansas Family Practice, P.a. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1309 Polk St, Great Bend, KS 67530 Phone: 620-792-5341 Fax: 620-792-3702  | |
Ukhs Great Bend, Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 514 Cleveland St, Great Bend, KS 67530 Phone: 620-792-8833  |