Organization
UKHS GREAT BEND, LLC
Active
Other names
The University of Kansas Health System Great Bend Campus
Organization subpart
No
Provider details
NPI number
Authorized official
JESSE MOCK (CEO)
(620) 791-6272
Entity
Organization
Contact information
Practice address
1021 EISENHOWER AVE, GREAT BEND, KS 67530-3213
(620) 792-2511
Mailing address
1021 EISENHOWER AVE, GREAT BEND, KS 67530-3213
(620) 792-2511
Taxonomy
Speciality
Code
Description
License number
State
261QR1300X
Rural Health Clinic/Center
Primary
—
—
Other
Enumeration date
07/02/2018
Last updated
09/18/2023
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