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Organization
CENTRAL KANSAS MEDICAL CENTER
Active
Organization
CENTRAL KANSAS MEDICAL CENTER
Active
Parent organization
CATHOLIC HEALTH INITIATIVES
Other names
St. Rose Ambulatory & Surgery Center
Organization subpart
Yes
Provider details
NPI number
Legal business name
CATHOLIC HEALTH INITIATIVES
Authorized official
BRUCE B WEDDELL (CHIEF FINANCIAL OFFICER)
(620) 786-6643
Entity
Organization
Contact information
Practice address
3515 BROADWAY AVE, GREAT BEND, KS 67530-3633
(620) 786-6101
(620) 786-6298
Mailing address
3515 BROADWAY AVE, GREAT BEND, KS 67530-3633
(620) 786-6101
(620) 786-6298
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
—
NULL
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
—
NULL
261QE0800X
Endoscopy Clinic/Center
—
NULL
261QP2300X
Primary Care Clinic/Center
—
NULL
261QR0206X
Mammography Clinic/Center
—
NULL
261QR1300X
Rural Health Clinic/Center
—
NULL
261QS1200X
Sleep Disorder Diagnostic Clinic/Center
—
NULL
261QU0200X
Urgent Care Clinic/Center
—
NULL
Other
Enumeration date
03/21/2011
Last updated
07/11/2011
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