Active NPI
Great Bend Regional Hospital, LLC
Doing business as Great Bend Regional Hospital
- Medicare Defined Swing Bed Hospital Unit
- Great Bend, KS
National Provider Identifier
1306229414
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Medicare Defined Swing Bed Hospital Unit
- License
- H005004
- Legal business name
- GREAT BEND REGIONAL HOSPITAL, LLC
- Doing business as
- Great Bend Regional Hospital
- Practice address
- 514 Cleveland St
Great Bend, KS 67530-3562 - Phone
- (620) 792-8833
- Fax
- (620) 791-6876
- NPI assigned
- Jul 7, 2015
- Last updated
- Jul 7, 2015
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Leonard T Fleske, M.D.
- Title
- Chairman of the Board
- Phone
- (620) 792-8833
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Medicare Defined Swing Bed Hospital Unit | 275N00000X | H005004 | KS | Primary |
Addresses
Primary practice location
514 Cleveland St
Great Bend, KS 67530-3562
Mailing address
514 Cleveland St
Great Bend, KS 67530-3562
Phone (620) 792-8833
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 187321801 | Medicaid | KS |
Other names 1
- Great Bend Regional Hospital
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1436227200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1436227200000",
"number": "1306229414",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "514 CLEVELAND ST",
"city": "GREAT BEND",
"state": "KS",
"postal_code": "675303562",
"telephone_number": "620-792-8833",
"fax_number": "620-791-6876"
},
{
"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",
"fax_number": "620-791-6876"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "GREAT BEND REGIONAL HOSPITAL, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2015-07-07",
"last_updated": "2015-07-07",
"status": "A",
"authorized_official_last_name": "FLESKE",
"authorized_official_first_name": "LEONARD",
"authorized_official_middle_name": "T",
"authorized_official_title_or_position": "CHAIRMAN OF THE BOARD",
"authorized_official_telephone_number": "620-792-8833",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "275N00000X",
"taxonomy_group": "",
"desc": "Medicare Defined Swing Bed Unit",
"state": "KS",
"license": "H005004",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "187321801",
"state": "KS"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Great Bend Regional Hospital",
"code": "3",
"type": "Doing Business As"
}
]
}Other providers in Great Bend, KS
- Great Bend Childrens Clinic PA
- Great Bend Homestead Assisted Living, LLC (river Bend Assisted Living)
- Great Bend Regional Hospital LLC (Heartland Regional Health Clinic)
- Great Bend Regional Hospital LLC (Central Kansas Family Practice)
- Great Bend Regional Hospital, LLC
- Great Bend Regional Hospital, LLC
- Great Bend Regional Hospital, LLC (Central Kansas Medical Park Ancillary Service)
- Great Bend SNF, LLC (Azria Health Great Bend)
- Great Bend Usd 428 Barton County Special Services Coop
- Great Bend-LTC, LLC (Great Bend Health & Rehabilitation Center)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 7, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.