Organization
GREAT BEND REGIONAL HOSPITAL LLC
Active
Parent organization
GREAT BEND REGIONAL HOSPITAL, LLC
Other names
Central Kansas Family Practice
Organization subpart
Yes
Provider details
NPI number
Legal business name
GREAT BEND REGIONAL HOSPITAL, LLC
Authorized official
PERRY MILTON SMITH MD (MEDICAL DIRECTOR)
(620) 792-5341
Entity
Organization
Contact information
Practice address
1309 POLK, GREAT BEND, KS 67530
(620) 792-5341
(620) 792-3702
Mailing address
1309 POLK, GREAT BEND, KS 67530
(620) 792-5341
(620) 792-3702
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100088870A
—
KS
Enumeration date
01/10/2013
Last updated
02/12/2013
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