UKHS GREAT BEND, LLC
NPI 1073003992
Clinic/Center - Rural Health in Great Bend, KS

NPI Status: Active since May 16, 2018

Contact Information

3515 BROADWAY AVE
GREAT BEND, KS
ZIP 67530
Phone: (620) 792-5341

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  • Organization
  • Clinic/Center
  • Rural Health
  • Accepts Insurance
  • CLIA Number: 17D0915738
  • CLIA Cert. Type: Rural Health Clinic
  • CLIA Exp. Date: 08-28-2027

About UKHS GREAT BEND, LLC

This page provides the complete NPI Profile along with additional information for Ukhs Great Bend, Llc, a primary care provider established in Great Bend, Kansas operating as a Clinic/center, focusing in rural health . The healthcare provider is registered in the NPI registry with number 1073003992 assigned on May 2018. The practitioner's primary taxonomy code is 261QR1300X. The provider is registered as an organization and their NPI record was last updated 3 years ago. The authorized official of this NPI record is Jesse Mock (Authorized Official)

NPI
1073003992
Provider Name
UKHS GREAT BEND, LLC
Entity Type
Organization
Location Address
3515 BROADWAY AVE GREAT BEND, KS 67530
Location Phone
(620) 792-5341
Mailing Address
3515 BROADWAY AVE GREAT BEND, KS 67530
Mailing Phone
(620) 792-5341
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
05-16-2018
Last Update Date
09-18-2023
Code Navigator

A primary care provider (PCP) like Ukhs Great Bend, Llc sees people with common medical problems. The primary care provider might be a doctor, physician assistant, nurse practitioner or clinic that are usually involved in your long-term care. A PCP might provide preventive care, treat common medical conditions, identify urgent medical problems and refer you to specialists when necessary. Primary care is usually provided in an outpatient facility but if you are admitted to a hospital your PCP may assist in your care. The most common medical conditions seen by primary care providers are: hypertension, upper respiratory tract infections, depression or anxiety, back pain, arthritis, dermatitis, diabetes, urinary tract infections, etc .

Location Map

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Clinic/Center Rural Health

Taxonomy Code
261QR1300X
Type
Ambulatory Health Care Facilities

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

  • Complete Gold - EPO
  • Complete Gold + Vision + Adult Dental - EPO
  • Complete Silver - EPO
  • Complete Silver + Vision + Adult Dental - EPO
  • Elite Bronze - EPO
  • Elite Bronze + Vision + Adult Dental - EPO
  • Everyday Bronze - EPO
  • Everyday Bronze + Vision + Adult Dental - EPO
  • Everyday Gold - EPO
  • Everyday Gold + Vision + Adult Dental - EPO
  • Elite Bronze - EPO
  • Elite Bronze + Vision + Adult Dental - EPO
  • Elite Gold - EPO
  • Elite Gold + Vision + Adult Dental - EPO
  • Everyday Bronze - EPO
  • Everyday Bronze + Vision + Adult Dental - EPO
  • Everyday Gold - EPO
  • Everyday Gold + Vision + Adult Dental - EPO
  • Focused Silver - EPO
  • Focused Silver + Vision + Adult Dental - EPO
  • Choice Bronze HSA - EPO
  • Choice Bronze HSA + Vision + Adult Dental - EPO
  • Clear Gold - EPO
  • Clear Gold + Vision + Adult Dental - EPO
  • Complete Gold - HMO
  • Complete Gold + Vision + Adult Dental - HMO
  • Elite Bronze - EPO
  • Elite Bronze - HMO
  • Elite Bronze + Vision + Adult Dental - EPO
  • Elite Bronze + Vision + Adult Dental - HMO
  • Clear Gold - EPO
  • Clear Gold + Vision + Adult Dental - EPO
  • Complete Gold - EPO
  • Complete Gold + Vision + Adult Dental - EPO
  • Elite Silver - EPO
  • Elite Silver + Vision + Adult Dental - EPO
  • Everyday Bronze - EPO
  • Everyday Bronze + Vision + Adult Dental - EPO
  • Focused Silver - EPO
  • Focused Silver + Vision + Adult Dental - EPO
  • Elite Bronze - PPO
  • Elite Bronze + Vision + Adult Dental - PPO
  • Elite Gold - PPO
  • Elite Gold + Vision + Adult Dental - PPO
  • Enhanced Asthma/COPD Care Silver with $0 Drug Options - PPO
  • Enhanced Asthma/COPD Care Silver with $0 Drug Options + Vision + Adult Dental - PPO
  • Enhanced Diabetes Care Silver with $0 Drug Options - PPO
  • Enhanced Diabetes Care Silver with $0 Drug Options + Vision + Adult Dental - PPO
  • Everyday Bronze - PPO
  • Everyday Bronze + Vision + Adult Dental - PPO
  • BlueCare EPO Bronze - EPO
  • BlueCare EPO Gold - EPO
  • BlueCare EPO Gold Plus - EPO
  • BlueCare EPO Silver Plus - EPO
  • BlueCare EPO Simple Bronze HDHP - EPO
  • BlueCare EPO Simple Silver HDHP - EPO
  • BlueCare EPO Standardized Expanded Bronze - EPO
  • BlueCare EPO Standardized Gold - EPO
  • BlueCare EPO Standardized Silver - EPO
  • UHC Bronze Copay Focus $0 Indiv Med Ded ($0 Virtual Urgent Care, No Referrals) - EPO
  • UHC Bronze Copay Focus+ $0 Indiv Med Ded ($0 Virtual Urgent Care, Dental + Vision, No Referrals) - EPO
  • UHC Bronze Essential (No Referrals) - EPO
  • UHC Bronze Standard (No Referrals) - EPO
  • UHC Bronze Standard+ (Dental + Vision, No Referrals) - EPO
  • UHC Gold Advantage ($0 Virtual Urgent Care, $3 Tier 2 Rx, No Referrals) - EPO
  • UHC Gold Advantage+ ($0 Virtual Urgent Care, $3 Tier 2 Rx, Dental + Vision, No Referrals) - EPO
  • UHC Gold Copay Focus $0 Indiv Med Ded ($0 Virtual Urgent Care, $3 Tier 2 Rx, No Referrals) - EPO
  • UHC Gold Copay Focus+ $0 Indiv Med Ded ($0 Virtual Urgent Care, $3 Tier 2 Rx, Dental + Vision, No Referrals) - EPO
  • UHC Gold Standard (No Referrals) - EPO

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

JESSE MOCK

Authorized Official Title
AUTHORIZED OFFICIAL
Authorized Official Phone
(620) 791-6272

CLIA Information

The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:

CLIA Number
17D0915738
Facility Type
Rural Health Clinic
Certificate Effective Date
August 29, 2025
Certificate Expiration Date
August 28, 2027
Laboratory Director
JODI E. HENRIKSON
Certificate Type
Certificate for Provider-Performed Microscopy Procedures (PPMP)
Certificate Type Description
This CLIA certificate is issued to Ukhs Great Bend, Llc in which a physician, midlevel practitioner or dentist that performs specific microscopy procedures during the course of a patient's visit. A limited list of provider-performed microscopy procedures is included under this certificate type, which are categorized as moderate complexity testing.

Reviews for UKHS GREAT BEND, LLC

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NPI NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1073003992, we treat the final digit (2) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 58. The final step is to find the difference between that total and the next multiple of ten (60 - 58 = 2).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1
1
Doubled → 2
Pos 2
0
Unchanged
Pos 3
7
Doubled → 14 → 1 + 4
Pos 4
3
Unchanged
Pos 5
0
Doubled → 0
Pos 6
0
Unchanged
Pos 7
3
Doubled → 6
Pos 8
9
Unchanged
Pos 9
9
Doubled → 18 → 1 + 8
Check
2
Target digit
Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 7 → 14 → 5 0 → 0 3 → 6 9 → 18 → 9

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 0 + 1 + 4 + 3 + 0 + 0 + 6 + 9 + 1 + 8 + 24 = 58

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 58 is 60. The difference is the calculated check digit.

60 - 58 = 2
This NPI is valid
The calculated check digit is 2, which matches the last digit of 1073003992.

Other Providers at the Same Location


The following 20 providers are registered at the same or a nearby location.

Pathology (Anatomic Pathology & Clinical Pathology)
3515 BROADWAY AVE
GREAT BEND, KS 67530
Anesthesiology
3515 BROADWAY AVE
GREAT BEND, KS 67530
Emergency Medicine
3515 BROADWAY AVE
GREAT BEND, KS 67530
Internal Medicine
3515 BROADWAY AVE, SUITE 107
GREAT BEND, KS 67530
Dietitian, Registered
3515 BROADWAY AVE
GREAT BEND, KS 67530
General Acute Care Hospital
3515 BROADWAY AVE
GREAT BEND, KS 67530
Medicare Defined Swing Bed Unit
3515 BROADWAY AVE
GREAT BEND, KS 67530
Rehabilitation Unit
3515 BROADWAY AVE
GREAT BEND, KS 67530
Specialist
3515 BROADWAY AVE
GREAT BEND, KS 67530
Nurse Practitioner (Obstetrics & Gynecology)
3515 BROADWAY AVE, SUITE 121
GREAT BEND, KS 67530
Durable Medical Equipment & Medical Supplies
3515 BROADWAY AVE
GREAT BEND, KS 67530
Speech-Language Pathologist
3515 BROADWAY AVE
GREAT BEND, KS 67530
Physical Therapist
3515 BROADWAY AVE
GREAT BEND, KS 67530
Nurse Anesthetist, Certified Registered
3515 BROADWAY AVE
GREAT BEND, KS 67530
Nurse Anesthetist, Certified Registered
3515 BROADWAY AVE
GREAT BEND, KS 67530
Specialist
3515 BROADWAY AVE, SUITE 121
GREAT BEND, KS 67530
Occupational Therapy Assistant
3515 BROADWAY AVE
GREAT BEND, KS 67530
Occupational Therapy Assistant
3515 BROADWAY AVE
GREAT BEND, KS 67530
Occupational Therapist
3515 BROADWAY AVE
GREAT BEND, KS 67530
Speech-Language Pathologist
3515 BROADWAY AVE
GREAT BEND, KS 67530

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1073003992, enumerated as an "organization" on May 16, 2018.

The provider is located at 3515 BROADWAY AVE GREAT BEND, KS 67530 and the phone number is (620) 792-5341.

Clinic/Center with taxonomy code 261QR1300X and a focus in Rural Health.

The provider might be accepting Accepts: Ambetter from Home State Health, Ambetter from. Please consult your insurance carrier or call the provider to verify.