Central Kansas Medical Center

Primary specialty

Rural Health Clinic/CenterTaxonomy code 261QR1300X

Legal business name

CENTRAL KANSAS MEDICAL CENTER

Practice address

3515 Broadway Ave
Suite 107
Great Bend, KS 67530-3633

Phone

(620) 786-6184

Fax

(620) 793-6014

NPI assigned

Aug 15, 2008

Organization subpart

No

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

Authorized official

Name

Leanne Irsik

Title

Sr. VP/Site Administrator

Phone

(620) 786-6163

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Great Bend Internists Doing business as

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

{
    "created_epoch": "1218758400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1360281600000",
    "number": "1992951446",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3515 BROADWAY",
            "city": "GREAT BEND",
            "state": "KS",
            "postal_code": "675303657",
            "telephone_number": "620-793-8429",
            "fax_number": "620-793-6014"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3515 BROADWAY AVE",
            "address_2": "SUITE 107",
            "city": "GREAT BEND",
            "state": "KS",
            "postal_code": "675303633",
            "telephone_number": "620-786-6184",
            "fax_number": "620-793-6014"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CENTRAL KANSAS MEDICAL CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-08-15",
        "last_updated": "2013-02-08",
        "status": "A",
        "authorized_official_last_name": "IRSIK",
        "authorized_official_first_name": "LEANNE",
        "authorized_official_title_or_position": "SR. VP/SITE ADMINISTRATOR",
        "authorized_official_telephone_number": "620-786-6163"
    },
    "taxonomies": [
        {
            "code": "261QR1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rural Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100080680F",
            "state": "KS"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Great Bend Internists",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Central Kansas Medical Center
• Central Kansas Medical Center
• Central Kansas Medical Center
• Central Kansas Medical Center
• Central Kansas Medical Center
• Central Kansas Medical Park Ancillary Services, P.a.
• Central Kansas Orthopedic Group LLC
• Central Kansas Orthopedic Group, LLC
• Central Kansas Psychological Services
• Central Plains Surgical Associates, LLC

• Rural Health Clinic/Center in Great Bend, KS
• Providers in Great Bend, KS by specialty
• Rural Health Clinic/Center in Kansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 8, 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.