Central Kansas Medical Park Ancillary Services, P.A.
LBN: Central Kansas Medical Park Ancillary Services, P.A.
Central Kansas Medical Park Ancillary Services, 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 Laboratories / Clinical Medical Laboratory, which is considered as the primary health care specialty.
Central Kansas Medical Park Ancillary Services, P.A. can be contacted via phone (620) 793-5404, or through Smith, Perry M via phone (620) 793-5404.
Contact Information
Primary practice address
1309 Polk St
Great Bend KS 67530-3618
Phone: (620) 793-5404
Fax: (620) 792-2665
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Laboratories / Clinical Medical Laboratory | 291U00000X |
Profile Details
| NPI number | 1710988134 |
|---|---|
| LBN Legal business name | Central Kansas Medical Park Ancillary Services, 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 | Apr 1st, 2013 - about 11 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1710988134 | NPPES |
| Kansas | Other | 016144 | BLUE SHIELD |
| Kansas | MEDICAID | 100245710A | BLUE SHIELD |
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