| 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 | Clinic/center - Rural Health |
| Location | 3520 Lakin Ave, Great Bend, Kansas |
| Authorized Official Name and Position | Leanne Irsik (SR. VP/SITE ADMINISTRATOR) |
| Authorized Official Contact | 6207866163 |
| 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 | 1801042353 |
|---|---|
| Provider Enumeration Date | 08/15/2008 |
| Last Update Date | 11/27/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1801042353 | NPI | - | NPPES |
| 100080680H | Medicaid | KS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QR1300X | Clinic/center - Rural Health | (* (Not Available)) | Primary |
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