Organization
CENTRAL KANSAS MEDICAL CENTER
Active
Other names
St Rose Medical Services
Organization subpart
No
Provider details
NPI number
Authorized official
MR. BRUCE B WEDDELL (CFO)
(620) 786-6643
Entity
Organization
Contact information
Practice address
3515 BROADWAY AVE, GREAT BEND, KS 67530-3633
(620) 792-2511
Mailing address
3515 BROADWAY AVE, GREAT BEND, KS 67530-3633
(620) 792-2511
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
Other
Enumeration date
08/24/2006
Last updated
07/11/2011
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