ST. ROSE CONVENIENT CARE - NPI 1124400361 - Family Medicine in Great Bend, KS

Q: What is St Rose Health Center Inc's NPI number?

The NPI number for St Rose Health Center Inc is 1124400361. It was assigned to this organization in the NPPES registry on June 24, 2015. The provider is doing business as St. Rose Convenient Care.

Q: What is St Rose Health Center Inc's specialty?

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

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About St. Rose Convenient Care NPPES

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

ST. ROSE CONVENIENT CARE (NPI 1124400361) is a healthcare organization registered as a family medicine in Great Bend, Kansas and active in the NPI registry since June 2015. The organization lists John B Moore, Exec Director Ppa, as its authorized official.

NPPES Registry Identity

NPI1124400361

Entity TypeOrganization

Primary Taxonomy207Q00000X

Legal Business NameST ROSE HEALTH CENTER INC

Location Address3515 BROADWAY AVEGreat Bend, KS 67530-3633

Mailing Address3515 Broadway AveGreat Bend, KS 67530-3633 · (620) 786-6115 · Fax (620) 786-6262

Phone(620) 792-2511

Fax(620) 792-3767

Organization SubpartNo

Authorized OfficialJohn B MooreExec Director Ppa · (785) 623-2185

Enumeration DateJune 24, 2015

Last NPPES UpdateFebruary 7, 2017

✔ NPI 1124400361 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 Convenient Care

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE 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