# HP-GREAT BEND INC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Great Bend Health and Rehabilitation Center
- **Organization subpart:** No

## Provider details

- **NPI number:** 1467659573
- **Authorized official:** DOUGLAS K MITTLEIDER (PRESIDENT)
- **Authorized official phone:** (770) 619-0866

## Contact information

- **Practice address:** 1560 K96 HIGHWAY, GREAT BEND, KS 67530
- **Practice address phone:** (620) 792-2448
- **Practice address fax:** (620) 792-3458
- **Mailing address:** 1560 K96 HIGHWAY, GREAT BEND, KS 67530
- **Mailing address phone:** (620) 792-2448
- **Mailing address fax:** (620) 792-3458

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 314000000X | Skilled Nursing Facility | N005002 | KS | Yes |

## Other

- **Enumeration date:** 07/02/2007
- **Last updated:** 08/22/2020
