Organization
ST ROSE HEALTH CENTER INC
Active
Other names
St. Rose Convenient Care
Organization subpart
No
Provider details
NPI number
Authorized official
JOHN B MOORE (EXEC DIRECTOR PPA)
(785) 623-2185
Entity
Organization
Contact information
Practice address
3515 BROADWAY AVE, GREAT BEND, KS 67530-3633
(620) 792-2511
(620) 792-3767
Mailing address
3515 BROADWAY AVE, GREAT BEND, KS 67530-3633
(620) 786-6115
(620) 786-6262
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
06/24/2015
Last updated
02/07/2017
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