| Ukhs Great Bend, Llc | |
|
3515 Broadway Ave Great Bend KS 67530-3633 | |
| (620) 792-5341 | |
| Not Available |
| Full Name | Ukhs Great Bend, Llc |
|---|---|
| Speciality | Clinic/Center |
| Location | 3515 Broadway Ave, Great Bend, Kansas |
| Authorized Official Name and Position | Jesse Mock (AUTHORIZED OFFICIAL) |
| Authorized Official Contact | 6207916272 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Ukhs Great Bend, Llc 3515 Broadway Ave Great Bend KS 67530-3633 Ph: (620) 792-5341 | Ukhs Great Bend, Llc 3515 Broadway Ave Great Bend KS 67530-3633 Ph: (620) 792-5341 |
| NPI Number | 1073003992 |
|---|---|
| Provider Enumeration Date | 05/16/2018 |
| Last Update Date | 09/18/2023 |
| Medicare PECOS PAC ID | 5597016378 |
|---|---|
| Medicare Enrollment ID | O20180918002956 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1073003992 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QR1300X | Clinic/center - Rural Health | (* (Not Available)) | Primary |
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