Organization
UKHS GREAT BEND, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JESSE MOCK (AUTHORIZED OFFICIAL)
(620) 791-6272
Entity
Organization
Contact information
Practice address
3515 BROADWAY AVE, GREAT BEND, KS 67530-3633
(620) 792-5341
Mailing address
3515 BROADWAY AVE, GREAT BEND, KS 67530-3633
(620) 792-5341
Taxonomy
Speciality
Code
Description
License number
State
261QR1300X
Rural Health Clinic/Center
Primary
—
—
Other
Enumeration date
05/16/2018
Last updated
09/18/2023
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