Organization
GREAT BEND REGIONAL HOSPITAL, LLC
Active
Parent organization
GREAT BEND REGIONAL HOSPITAL
Organization subpart
Yes
Provider details
NPI number
Legal business name
GREAT BEND REGIONAL HOSPITAL
Authorized official
DR. ROGER MARSHALL (MEDICAL DIRECTOR)
(620) 792-8833
Entity
Organization
Contact information
Practice address
514 CLEVELAND ST, GREAT BEND, KS 67530-3562
(620) 792-8833
Mailing address
6880 W SNOWVILLE RD, SUITE 210, BRECKSVILLE, OH 44141-3254
(440) 627-2543
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100396140B
—
KS
Enumeration date
08/06/2009
Last updated
04/15/2013
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