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Organization

CENTRAL KANSAS MEDICAL CENTER

Active
Parent organization
CENTRAL KANSAS MEDICAL CENTER
Other names
ST ROSE PROFESSIONAL SERVICES
Organization subpart
Yes

Provider details

NPI number
Legal business name
CENTRAL KANSAS MEDICAL CENTER
Authorized official
MRS. LEANNE IRSIK (SENIOR VP/SITE ADMINISTRATOR)
(620) 786-6163
Entity
Organization

Contact information

Practice address
3515 BROADWAY AVE, GREAT BEND, KS 67530-3633
(620) 792-2511
(620) 786-6298
Mailing address
3515 BROADWAY AVE, GREAT BEND, KS 67530-3633
(620) 792-2511
(620) 786-6298

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
Primary

Other

Enumeration date
07/08/2011
Last updated
03/15/2012
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