Great Bend Childrens Clinic Pa

LBN: Great Bend Childrens Clinic Pa
Great Bend Childrens Clinic Pa is an health care organization with primary practice located at 1021 Eisenhower Ave Great Bend Children'S Clinic, Great Bend KS 67530-3213. The organization recently has only one registered license in Ambulatory Health Care Facilities / Rural Health, which is considered as the primary health care specialty. Great Bend Childrens Clinic Pa can be contacted via phone (620) 792-5437, or through Edmonds, John T. via phone (620) 792-5437.

Contact Information

Primary practice address
1021 Eisenhower Ave Great Bend Children'S Clinic Great Bend KS 67530-3213
Phone: (620) 792-5437
Fax: (620) 793-5245
Website:
Map and Directions
Authorized official contact:
Name: Edmonds, John T.
Phone: (620) 792-5437

Health care specialties

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

Profile Details

NPI number 1619955853
LBN Legal business name Great Bend Childrens Clinic Pa
DBA Doing business as
Authorized official Edmonds, John T.
Entity Organization
Organization subpart 1 No
Enumeration date Jan 6th, 2006
Last updated Oct 12th, 2010 - about 14 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 1619955853 NPPES
Kansas MEDICAID 100127410B
Kansas MEDICAID 100299730A
Kansas Other 016773

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