Central Kansas Family Practice, P.A.

LBN: Central Kansas Family Practice, P.A.
Central Kansas Family Practice, P.A. is an health care organization with primary practice located at 1309 Polk St , Great Bend KS 67530-3618. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as the primary health care specialty. Central Kansas Family Practice, P.A. can be contacted via phone (620) 792-5341, or through Smith, Perry M via phone (620) 792-5341.

Contact Information

Primary practice address
1309 Polk St Great Bend KS 67530-3618
Fax: (620) 792-3702
Website:
Authorized official contact:
Name: Smith, Perry M Doctor of Medicine (MD)

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X

Profile Details

NPI number 1235130675
LBN Legal business name Central Kansas Family Practice, P.A.
DBA Doing business as
Authorized official Smith, Perry M Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Aug 9th, 2005
Last updated Aug 22nd, 2020 - about 4 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1235130675 NPPES
Kansas Other 016135 BLUE SHIELD
Kansas Other 173885 BLUE SHIELD

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