| St. Rose Convenient Care | |
|
3515 Broadway Ave Great Bend KS 67530-3633 | |
| (620) 792-2511 | |
| (620) 792-3767 |
| Full Name | St. Rose Convenient Care |
|---|---|
| Speciality | Family Medicine |
| Location | 3515 Broadway Ave, Great Bend, Kansas |
| Authorized Official Name and Position | John B Moore (EXEC DIRECTOR PPA) |
| Authorized Official Contact | 7856232185 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| St. Rose Convenient Care 3515 Broadway Ave Great Bend KS 67530-3633 Ph: (620) 786-6115 | St. Rose Convenient Care 3515 Broadway Ave Great Bend KS 67530-3633 Ph: (620) 792-2511 |
| NPI Number | 1124400361 |
|---|---|
| Provider Enumeration Date | 06/24/2015 |
| Last Update Date | 02/07/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1124400361 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
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