Organization
CENTRAL KANSAS MEDICAL CENTER
Active
Other names
ST ROSE FAMILY MEDICINE & URGENT CARE CLINIC
Organization subpart
No
Provider details
NPI number
Authorized official
AMANDA R VAUGHAN (CFO)
(620) 272-2561
Entity
Organization
Contact information
Practice address
3515 BROADWAY AVE, GREAT BEND, KS 67530-3633
(620) 272-2514
Mailing address
PO BOX 960462, OKLAHOMA CITY, OK 73196-0462
(877) 485-4474
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
KS
Other
Enumeration date
12/12/2012
Last updated
07/30/2013
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