Active NPI
Central Kansas Medical Center
- Home Health Agency
- Great Bend, KS
National Provider Identifier
1366469371
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Agency
- License
- A-005-006
- Legal business name
- CENTRAL KANSAS MEDICAL CENTER
- Practice address
- 3520 Lakin
Great Bend, KS 67530-3646 - Phone
- (620) 792-8171
- Fax
- (620) 792-3825
- NPI assigned
- Jul 16, 2006
- 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
- Mrs. Donita Wolf, RN
- Title
- Manager
- Phone
- (620) 792-8171
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Agency | 251E00000X | A-005-006 | KS | Primary |
Addresses
Primary practice location
3520 Lakin
Great Bend, KS 67530-3646
Mailing address
3520 Lakin
Suite 102
Great Bend, KS 67530-3646
Phone (620) 792-8171
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 100069640B | Medicaid | KS | |
| 763 | Other | KS | BCBS |
Other names 1
- Golden Belt Home Health and Hospice
National Provider Directory
National Provider Directory- Tax ID family
- St Rose Health Center LLC
Other organizations with this tax ID 3
Organizations that report the same tax identification number in the National Provider Directory.
-
- Family Medicine Physician
- Great Bend, KS
- NPI 1124400361
-
- Clinical Medical Laboratory
- Great Bend, KS
- NPI 1316344468
-
- Ambulatory Surgical Clinic/Center
- Great Bend, KS
- NPI 1366847808
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153008000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1335916800000",
"number": "1366469371",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3520 LAKIN",
"address_2": "SUITE 102",
"city": "GREAT BEND",
"state": "KS",
"postal_code": "675303646",
"telephone_number": "620-792-8171",
"fax_number": "620-792-3825"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3520 LAKIN",
"city": "GREAT BEND",
"state": "KS",
"postal_code": "675303646",
"telephone_number": "620-792-8171",
"fax_number": "620-792-3825"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CENTRAL KANSAS MEDICAL CENTER",
"organizational_subpart": "NO",
"enumeration_date": "2006-07-16",
"last_updated": "2012-05-02",
"status": "A",
"authorized_official_last_name": "WOLF",
"authorized_official_first_name": "DONITA",
"authorized_official_title_or_position": "MANAGER",
"authorized_official_telephone_number": "620-792-8171",
"authorized_official_name_prefix": "Mrs.",
"authorized_official_credential": "RN"
},
"taxonomies": [
{
"code": "251E00000X",
"taxonomy_group": "",
"desc": "Home Health",
"state": "KS",
"license": "A-005-006",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "100069640B",
"state": "KS"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "763",
"state": "KS"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Golden Belt Home Health and Hospice",
"code": "5",
"type": "Other Name"
}
]
}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 May 2, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.