# CENTRAL KANSAS MEDICAL CENTER

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** CATHOLIC HEALTH INITIATIVES
- **Other names:** St. Rose Ambulatory & Surgery Center
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1265731996
- **Legal business name:** CATHOLIC HEALTH INITIATIVES
- **Authorized official:** BRUCE B WEDDELL (CHIEF FINANCIAL OFFICER)
- **Authorized official phone:** (620) 786-6643

## Contact information

- **Practice address:** 3515 BROADWAY AVE, GREAT BEND, KS 67530-3633
- **Practice address phone:** (620) 786-6101
- **Practice address fax:** (620) 786-6298
- **Mailing address:** 3515 BROADWAY AVE, GREAT BEND, KS 67530-3633
- **Mailing address phone:** (620) 786-6101
- **Mailing address fax:** (620) 786-6298

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261Q00000X | Clinic/Center | — | NULL | — |
| 261QA1903X | Ambulatory Surgical Clinic/Center | — | NULL | Yes |
| 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