Organization
ST ROSE HEALTH CENTER INC
Active
Other names
Great Bend Internists
Organization subpart
No
Provider details
NPI number
Authorized official
JOHN B MOORE (EXEC DIRECTOR OF PHYSICIAN PRACTICE)
(785) 623-2185
Entity
Organization
Contact information
Practice address
3515 BROADWAY AVE, GREAT BEND, KS 67530-3633
(620) 793-8429
(620) 793-6014
Mailing address
3515 BROADWAY AVE, GREAT BEND, KS 67530-3633
(620) 793-8429
(620) 793-6014
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
Other
Enumeration date
10/28/2014
Last updated
02/07/2017
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