| Great Bend Internists | |
|
3515 Broadway Ave Suite 107 Great Bend KS 67530-3633 | |
| (620) 786-6184 | |
| (620) 793-6014 |
| Full Name | Great Bend Internists |
|---|---|
| Speciality | Internal Medicine |
| Location | 3515 Broadway Ave, Great Bend, Kansas |
| Authorized Official Name and Position | Scott Taylor (CEO) |
| Authorized Official Contact | 6207866101 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Great Bend Internists 3515 Broadway Suite 107 Great Bend KS 67530-3657 Ph: (620) 793-8429 | Great Bend Internists 3515 Broadway Ave Suite 107 Great Bend KS 67530-3633 Ph: (620) 786-6184 |
| NPI Number | 1326098054 |
|---|---|
| Provider Enumeration Date | 05/11/2006 |
| Last Update Date | 10/07/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1326098054 | NPI | - | NPPES |
| 100080680B | Medicaid | KS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
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