NPIMap

Organization Active NPI

Great Bend Regional Hospital, LLC

  • Emergency Medicine Physician
  • Great Bend, KS
National Provider Identifier
1063643112
Registry record updated Apr 15, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
Legal business name
GREAT BEND REGIONAL HOSPITAL, LLC
Practice address
514 Cleveland St
Great Bend, KS 67530-3562
Phone
(620) 792-8833
NPI assigned
Aug 6, 2009
Last updated
Apr 15, 2013By the provider in NPPES
Organization subpart
Yes
Parent organization
GREAT BEND REGIONAL HOSPITALAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Apr 15, 2013

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Roger MarshallNPI 1558336362
Title
Medical Director
Phone
(620) 792-8833

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207P00000X Primary

Addresses

Primary practice location

514 Cleveland St
Great Bend, KS 67530-3562

Mailing address

6880 W Snowville Rd
Suite 210
Brecksville, OH 44141-3254
Phone (440) 627-2543

National Provider Directory

National Provider Directory
Part of
Great Bend Reg Hospital LLC

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/15041/brand/3/csg/1/fhir/r4

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1249516800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1365984000000",
    "number": "1063643112",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6880 W SNOWVILLE RD",
            "address_2": "SUITE 210",
            "city": "BRECKSVILLE",
            "state": "OH",
            "postal_code": "441413254",
            "telephone_number": "440-627-2543"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "514 CLEVELAND ST",
            "city": "GREAT BEND",
            "state": "KS",
            "postal_code": "675303562",
            "telephone_number": "620-792-8833"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GREAT BEND REGIONAL HOSPITAL, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "GREAT BEND REGIONAL HOSPITAL",
        "enumeration_date": "2009-08-06",
        "last_updated": "2013-04-15",
        "status": "A",
        "authorized_official_last_name": "MARSHALL",
        "authorized_official_first_name": "ROGER",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "620-792-8833",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Emergency Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Great Bend, KS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 15, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.