Organization
CENTRAL KANSAS MEDICAL CENTER
Active
Parent organization
CATHOLIC HEALTH INITIATIVES
Other names
St. Rose Laboratory Services
Organization subpart
Yes
Provider details
NPI number
Legal business name
CATHOLIC HEALTH INITIATIVES
Authorized official
BRUCE B WEDDELL (CHIEF FINANCIAL OFFICER)
(620) 786-6643
Entity
Organization
Contact information
Practice address
3515 BROADWAY AVE, GREAT BEND, KS 67530-3633
(620) 786-6101
(620) 786-6298
Mailing address
3515 BROADWAY AVE, GREAT BEND, KS 67530-3633
(620) 786-6101
(620) 786-6298
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
17D0452730
KS
Other
Enumeration date
06/14/2011
Last updated
06/14/2011
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