Organization
HEART OF KANSAS FAMILY HEALTH CARE, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. FREDDY GUNN (CFO)
(620) 792-5700
Entity
Organization
Contact information
Practice address
1905 19TH ST, GREAT BEND, KS 67530-2502
(620) 792-5700
(855) 463-0851
Mailing address
1905 19TH ST, GREAT BEND, KS 67530-2502
(620) 792-5700
(855) 463-0851
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
—
—
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
160510
BLUE SHIELD
KS
05
—
30003932810007
—
KS
01
—
461035
CHILDRENS MERCY
KS
01
—
DC6555
RAILROAD MEDICARE
KS
Enumeration date
08/20/2006
Last updated
05/08/2026
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