St. Joseph Family Medicine - Great Bend

LBN: Central Kansas Medical Center
St. Joseph Family Medicine - Great Bend is an health care organization with primary practice located at 3520 Lakin Ave Suite 103, Great Bend KS 67530-3646. The organization recently has only one registered license in Ambulatory Health Care Facilities / Rural Health, which is considered as the primary health care specialty. Central Kansas Medical Center can be contacted via phone (620) 792-3345, or through Irsik, Leanne via phone (620) 786-6163.

Contact Information

Primary practice address
3520 Lakin Ave Suite 103 Great Bend KS 67530-3646
Fax: (620) 792-3767
Website:
Authorized official contact:
Name: Irsik, Leanne

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Rural Health 261QR1300X

Profile Details

NPI number 1801042353
LBN Legal business name Central Kansas Medical Center
DBA Doing business as St. Joseph Family Medicine - Great Bend
Authorized official Irsik, Leanne
Entity Organization
Organization subpart 1 No
Enumeration date Aug 15th, 2008
Last updated Nov 27th, 2012 - about 13 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 1801042353 NPPES
Kansas MEDICAID 100080680H

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