Organization
ST ROSE HEALTH CENTER INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
EDWARD HERRMAN (PRESIDENT)
(785) 623-5523
Entity
Organization
Contact information
Practice address
3515 BROADWAY AVE, GREAT BEND, KS 67530-3633
(620) 792-2511
Mailing address
3515 BROADWAY AVE, GREAT BEND, KS 67530-3633
(620) 792-2511
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
—
—
207R00000X
Internal Medicine Physician
—
—
208D00000X
General Practice Physician
Primary
—
—
225100000X
Physical Therapist
—
—
Other
Enumeration date
10/30/2014
Last updated
10/09/2018
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