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Organization

GREAT BEND REGIONAL HOSPITAL, LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
LARRY T FORE (CONTROLLER)
(620) 791-6815
Entity
Organization

Contact information

Practice address
514 CLEVELAND STREET, GREAT BEND, KS 67530-3562
(620) 792-8833
(620) 792-1448
Mailing address
514 CLEVELAND STREET, GREAT BEND, KS 67530-3562
(620) 792-8833
(620) 792-1448

Taxonomy

Speciality
Code
Description
License number
State
282N00000X
General Acute Care Hospital
Primary
H005004
KS

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
001506
BCBS
KS
05
0187321801
KS
Enumeration date
04/10/2006
Last updated
08/10/2011
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