Great Bend Childrens Clinic Pa in Great Bend - Rural Health
Great Bend Childrens Clinic Pa - NPI 1619955853
Great Bend Childrens Clinic Pa is a Rural Health in Great Bend, Kansas. Great Bend Childrens Clinic Pa practices all healthcare services and medical treatments related to Rural Health. The NPI Number for Great Bend Childrens Clinic Pa is 1619955853. The last update date is 2010-10-12.
Great Bend Childrens Clinic Pa's current location address is 1021 Eisenhower Ave, Great Bend, Kansas. You can contact this provider via phone number 6207925437 and fax number 6207935245. The mailing address for Great Bend Childrens Clinic Pa is 1021 Eisenhower Ave, Great Bend, Kansas. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Great Bend Childrens Clinic Pa |
|---|---|
| Address | 1021 Eisenhower Ave, Great Bend, Kansas |
| Phone Number | 6207925437 |
| Fax Number | 6207935245 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | PRACTICE A |
|---|---|
| Authorized Official Name | Edmonds T. John |
| Telephone Number | 6207925437 |
NPI Number Detail
| NPI Number | 1619955853 |
|---|---|
| Provider Enumeration Date | 2006-01-06 |
| Last Updated Date | 2010-10-12 |
Provider Mailing Address Detail
| Address | 1021 Eisenhower Ave |
|---|---|
| City | Great Bend |
| State | Kansas (KS) |
| Post Code | 675303213 |
| Phone Number | 6207925437 |
| Fax Number | 6207935245 |
Provider's Primary Taxonomy Detail
| Speciality | Rural Health |
|---|---|
| Taxonomy | 261Qr1300X |
|
Definition: Provides primary care and preventive health services in rural medically underserved areas. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 100127410B | KS | -- | |
| 100299730A | KS | -- | |
| 16773 | KS | BCBS GROUP NO |
Post Comment/ Review Below
What is the unique 10-digit identifier code issued to Great Bend Childrens Clinic Pa by the Centers for Medicare & Medicaid Services?
The Great Bend Childrens Clinic Pa has been assigned the NPI (National Provider Identifier) 1619955853 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Could you please share the complete physical address where Great Bend Childrens Clinic Pa is geographically located?
The Great Bend Childrens Clinic Pa is physically situated at the following location: 1021 Eisenhower Ave, Great Bend, KS, 675303213.
What is the Great Bend Childrens Clinic Pa's specialty and taxonomy code?
The Great Bend Childrens Clinic Pa's specialty is Rural Health, and the corresponding taxonomy code is 261Qr1300X.
On what date was the 1619955853 assigned to Great Bend Childrens Clinic Pa?
The Great Bend Childrens Clinic Pa was issued its 1619955853 on 2006-01-06, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
When was the information regarding Great Bend Childrens Clinic Pa most recently updated?
The details pertaining to the Great Bend Childrens Clinic Pa, including its address, specialty, and other relevant information, were last refreshed on 2010-10-12.