Organization
GREAT BEND REGIONAL HOSPITAL, LLC
Active
Other names
Great Bend Regional Hospital
Organization subpart
No
Provider details
NPI number
Authorized official
LEONARD T FLESKE M.D. (CHAIRMAN OF THE BOARD)
(620) 792-8833
Entity
Organization
Contact information
Practice address
514 CLEVELAND ST, GREAT BEND, KS 67530-3562
(620) 792-8833
(620) 791-6876
Mailing address
514 CLEVELAND ST, GREAT BEND, KS 67530-3562
(620) 792-8833
(620) 791-6876
Taxonomy
Speciality
Code
Description
License number
State
275N00000X
Medicare Defined Swing Bed Hospital Unit
Primary
H005004
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
187321801
—
KS
Enumeration date
07/07/2015
Last updated
07/07/2015
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