St Joseph Family Medicine/great Bend | |
3520 Lakin Ave Suite 103 Great Bend KS 67530-3646 | |
(620) 792-3345 | |
(620) 792-3767 |
Full Name | St Joseph Family Medicine/great Bend |
---|---|
Speciality | Family Medicine |
Location | 3520 Lakin 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 |
---|---|
St Joseph Family Medicine/great Bend 3520 Lakin Ave Suite 103 Great Bend KS 67530-3646 Ph: (620) 792-3767 | St Joseph Family Medicine/great Bend 3520 Lakin Ave Suite 103 Great Bend KS 67530-3646 Ph: (620) 792-3345 |
NPI Number | 1467402040 |
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Provider Enumeration Date | 05/12/2006 |
Last Update Date | 10/07/2011 |
Identifier | Type | State | Issuer |
---|---|---|---|
1467402040 | NPI | - | NPPES |
100080680D | Medicaid | KS |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | (* (Not Available)) | Primary |
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