CENTRAL KANSAS MEDICAL PARK ANCILLARY SERVICES, P.A.
NPI 1710988134
Clinical Medical Laboratory in Great Bend, KS

Active since August 09, 2005
1309 POLK ST, GREAT BEND, KS 67530(620) 793-5404(620) 792-2665 Get Directions Write a Review

NPPES record last updated: April 1, 2013. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Central Kansas Medical Park Ancillary Services, P.a. NPPES

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

CENTRAL KANSAS MEDICAL PARK ANCILLARY SERVICES, P.A. (NPI 1710988134) is a healthcare organization registered as a clinical medical laboratory in Great Bend, Kansas and active in the NPI registry since August 2005. The organization lists Perry M Smith, President, as its authorized official.

NPPES Registry Identity

NPI1710988134
Entity TypeOrganization
Primary Taxonomy291U00000X
Legal Business NameCENTRAL KANSAS MEDICAL PARK ANCILLARY SERVICES, P.A.
Location Address1309 POLK STGreat Bend, KS 67530-3618
Mailing Address1309 Polk StGreat Bend, KS 67530-3618 · (620) 793-5404 · Fax (620) 792-2665
Fax(620) 792-2665
Organization SubpartNo
Authorized OfficialPerry M SmithPresident · (620) 793-5404
Enumeration DateAugust 9, 2005
Last NPPES UpdateApril 1, 2013
NPI 1710988134 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyClinical Medical LaboratoryLaboratories
Taxonomy Code291U00000X
Definition
(1) A clinical laboratory is a facility for the biological, microbiological, serological, chemical, immunohematological, hematological, biophysical, cytological, pathological, or other examination of materials derived from the human body for the purpose of providing information for the diagnosis, prevention, or treatment of any disease or impairment of, human beings. These examinations also include procedures to determine, measure, or otherwise describe the presence or absence of various substances or organisms in the body. Facilities only collecting or preparing specimens (or both) or only serving as a mailing service and not performing testing are not considered clinical laboratories. (2) Any facility that examines materials from the human body for purposes of providing information for the diagnosis, prevention, or treatment of any disease or impairment of, or the assessment of, the health of human beings. Typical divisions of a clinical laboratory include hematology, cytology, bacteriology, histology, biochemistry, medical toxicology, and serology.
1309 POLK ST, Great Bend, KS 67530

Other Identifiers 3

Medicare ID-Type Unspecified016144KS
Medicaid100245710AKS
Other016144KS · Blue Shield

Other Providers at the Same Location NPPES 6

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

Family Medicine
1309 POLK ST
GREAT BEND, KS 67530
Family Medicine
1309 POLK ST
GREAT BEND, KS 67530
Family Medicine
1309 POLK ST
GREAT BEND, KS 67530
Clinical Medical Laboratory
1309 POLK ST
GREAT BEND, KS 67530
Family Medicine
1309 POLK ST
GREAT BEND, KS 67530
Nurse Practitioner (Family)
1309 POLK ST
GREAT BEND, KS 67530

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 Park Ancillary Services, P.A.'s NPI number?

The NPI number for Central Kansas Medical Park Ancillary Services, P.A. is 1710988134. It was assigned to this organization in the NPPES registry on August 9, 2005.

Where is Central Kansas Medical Park Ancillary Services, P.A. located?

Central Kansas Medical Park Ancillary Services, P.A. is located at 1309 Polk St, Great Bend, KS 67530. The listed phone number is (620) 793-5404.

What is Central Kansas Medical Park Ancillary Services, P.A.'s specialty?

The primary specialty registered for this NPI is Clinical Medical Laboratory with taxonomy code 291U00000X.

When was this NPI record last updated?

The NPPES record for Central Kansas Medical Park Ancillary Services, P.A. was last updated on April 1, 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.