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ST ROSE FAMILY MEDICINE & URGENT CARE CLINIC
NPI 1043556400
Family Medicine in Great Bend, KS

Active since December 12, 2012
3515 BROADWAY AVE, GREAT BEND, KS 67530(620) 272-2514 Get Directions Write a Review

NPPES record last updated: July 30, 2013. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About St Rose Family Medicine & Urgent Care Clinic NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ST ROSE FAMILY MEDICINE & URGENT CARE CLINIC (NPI 1043556400) is a healthcare organization registered as a family medicine in Great Bend, Kansas and active in the NPI registry since December 2012. The organization lists Amanda R Vaughan, Cfo, as its authorized official.

NPPES Registry Identity

NPI1043556400
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameCENTRAL KANSAS MEDICAL CENTER
Location Address3515 BROADWAY AVEGreat Bend, KS 67530-3633
Mailing AddressPo Box 960462Oklahoma City, OK 73196-0462 · (877) 485-4474
Phone(620) 272-2514
Organization SubpartNo
Authorized OfficialAmanda R VaughanCfo · (620) 272-2561
Enumeration DateDecember 12, 2012
Last NPPES UpdateJuly 30, 2013
✔ NPI 1043556400 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
3515 BROADWAY AVE, Great Bend, KS 67530
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Other Names 1

Doing Business AsSt Rose Family Medicine & Urgent Care Clinic

Other Identifiers 1

Medicare PINKA2922KS

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

ST ROSE HEALTH CENTER INC
General Practice
3515 BROADWAY AVE
GREAT BEND, KS 67530
Barton County (620) 792-2511
CENTRAL KANSAS HEALTH EQUIPMENT
Durable Medical Equipment & Medical Supplies
3515 BROADWAY AVE
GREAT BEND, KS 67530
Barton County (620) 792-2511
MICCA SCHNEIDER MD
Family Medicine
3515 BROADWAY AVE
GREAT BEND, KS 67530
Barton County (620) 792-2511
GARRETT T REBEL CRNA
Nurse Anesthetist, Certified Registered
3515 BROADWAY AVE
GREAT BEND, KS 67530
Barton County (800) 475-6236
KARA SHULL M.S.-SLP
Speech-Language Pathologist
3515 BROADWAY AVE
GREAT BEND, KS 67530
Barton County (620) 786-6111
MRS. RUTH E JOHNSON COTA
Occupational Therapy Assistant
3515 BROADWAY AVE
GREAT BEND, KS 67530
Barton County (620) 786-6111
UKHS GREAT BEND, LLC
Clinic/Center (Rural Health)
3515 BROADWAY AVE
GREAT BEND, KS 67530
Barton County (620) 792-5341
AIMEE MARIE WYANT APRN
Nurse Practitioner
3515 BROADWAY AVE
GREAT BEND, KS 67530
Barton County (620) 792-2511

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Central Kansas Medical Center's NPI number?

The NPI number for Central Kansas Medical Center is 1043556400. It was assigned to this organization in the NPPES registry on December 12, 2012. The provider is doing business as St Rose Family Medicine & Urgent Care Clinic.

Where is Central Kansas Medical Center located?

Central Kansas Medical Center is located at 3515 Broadway Ave, Great Bend, KS 67530. The listed phone number is (620) 272-2514.

What is Central Kansas Medical Center's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

When was this NPI record last updated?

The NPPES record for Central Kansas Medical Center was last updated on July 30, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.