Central Kansas Medical Park Ancillary Services, P.A. in Great Bend - Clinical Medical Laboratory
Central Kansas Medical Park Ancillary Services, P.A. - NPI 1710988134
Central Kansas Medical Park Ancillary Services, P.A. is a Clinical Medical Laboratory in Great Bend, Kansas. Central Kansas Medical Park Ancillary Services, P.A. practices all healthcare services and medical treatments related to Clinical Medical Laboratory. The NPI Number for Central Kansas Medical Park Ancillary Services, P.A. is 1710988134. The last update date is 2013-04-01.
Central Kansas Medical Park Ancillary Services, P.A.'s current location address is 1309 Polk St, Great Bend, Kansas. You can contact this provider via phone number 6207935404 and fax number 6207922665. The mailing address for Central Kansas Medical Park Ancillary Services, P.A. is 1309 Polk St, Great Bend, Kansas. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Central Kansas Medical Park Ancillary Services, P.A. |
|---|---|
| Address | 1309 Polk St, Great Bend, Kansas |
| Phone Number | 6207935404 |
| Fax Number | 6207922665 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | PRESIDENT |
|---|---|
| Authorized Official Name | Smith M Perry |
| Credentials | M.D. |
| Telephone Number | 6207935404 |
NPI Number Detail
| NPI Number | 1710988134 |
|---|---|
| Provider Enumeration Date | 2005-08-09 |
| Last Updated Date | 2013-04-01 |
Provider Mailing Address Detail
| Address | 1309 Polk St |
|---|---|
| City | Great Bend |
| State | Kansas (KS) |
| Post Code | 675303618 |
| Phone Number | 6207935404 |
| Fax Number | 6207922665 |
Provider's Primary Taxonomy Detail
| Speciality | Clinical Medical Laboratory |
|---|---|
| Taxonomy | 291U00000X |
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Definition: (1) A clinical laboratory is a facility for the biological, microbiological, serological, chemical, immunohematological, hematological, biophysical, cytological, pathological, or other examination of materials derived from the human body for the purp |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 16144 | KS | BLUE SHIELD | |
| 100245710A | KS | -- |
Post Comment/ Review Below
What is the unique identification code assigned to Central Kansas Medical Park Ancillary Services, P.A. by the Centers for Medicare & Medicaid Services?
The Central Kansas Medical Park Ancillary Services, P.A. has been issued the NPI (National Provider Identifier) 1710988134. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
What is the unique 10-digit identifier code assigned to Central Kansas Medical Park Ancillary Services, P.A. by the Centers for Medicare & Medicaid Services?
The Central Kansas Medical Park Ancillary Services, P.A. has been issued the NPI (National Provider Identifier) 1710988134 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Could you provide the complete physical address where Central Kansas Medical Park Ancillary Services, P.A. is located?
The Central Kansas Medical Park Ancillary Services, P.A. is situated at the following address: 1309 Polk St, Great Bend, KS, 675303618.
On what date did Central Kansas Medical Park Ancillary Services, P.A. receive its 1710988134 assignment from the Centers for Medicare & Medicaid Services?
The Central Kansas Medical Park Ancillary Services, P.A. was assigned its 1710988134 on 2005-08-09, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
On what date did the Centers for Medicare & Medicaid Services assign the 1710988134 to Central Kansas Medical Park Ancillary Services, P.A.?
The Centers for Medicare & Medicaid Services assigned the 1710988134 to Central Kansas Medical Park Ancillary Services, P.A. on 2005-08-09.
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