HP-Great Bend Inc

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

N005002 Issued in KS

Legal business name

HP-GREAT BEND INC

Doing business as

Great Bend Health and Rehabilitation Center

Practice address

1560 K96 Highway
Great Bend, KS 67530

Phone

(620) 792-2448

Fax

(620) 792-3458

NPI assigned

Jul 2, 2007

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Douglas K Mittleider

Title

President

Phone

(770) 619-0866

Specialties & licenses 1

Addresses

Other names 1

• Great Bend Health and Rehabilitation Center Doing business as

Locations

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

{
    "created_epoch": "1183334400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1467659573",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1560 K96 HIGHWAY",
            "city": "GREAT BEND",
            "state": "KS",
            "postal_code": "67530",
            "telephone_number": "620-792-2448",
            "fax_number": "620-792-3458"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1560 K96 HIGHWAY",
            "city": "GREAT BEND",
            "state": "KS",
            "postal_code": "67530",
            "telephone_number": "620-792-2448",
            "fax_number": "620-792-3458"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HP-GREAT BEND INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-07-02",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "MITTLEIDER",
        "authorized_official_first_name": "DOUGLAS",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "770-619-0866"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "KS",
            "license": "N005002",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Great Bend Health and Rehabilitation Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Haylee Holinde
• Glenda K Holzman, M.D.
• Megan Frances Homolka, APRN
• Drew Andrew Hosman Sr., LCPC
• Jennifer L Hosman, LCMFT
• Trina Dee Hrabe, M.S., CCC-SLP
• Ashley M Hurd, SLP
• Marsena Grace Irvine, LMSW
• Sarah Irwin, M.S., CCC-SLP
• Dana A Jackson, PA-C

• Skilled Nursing Facility in Great Bend, KS
• Providers in Great Bend, KS by specialty
• Skilled Nursing Facility in Kansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.