CENTRAL KANSAS MEDICAL PARK ANCILLARY SERVICE
NPI 1780922773
Clinical Medical Laboratory in Great Bend, KS

NPI Status: Active since January 25, 2013

Contact Information

1309 POLK ST
GREAT BEND, KS
ZIP 67530
Phone: (620) 792-4266
Fax: (620) 792-2665

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  • Organization
  • Clinical Medical Laboratory

About CENTRAL KANSAS MEDICAL PARK ANCILLARY SERVICE

This page provides the complete NPI Profile along with additional information for Central Kansas Medical Park Ancillary Service, a provider established in Great Bend, Kansas operating as a Clinical Medical Laboratory. The healthcare provider is registered in the NPI registry with number 1780922773 assigned on January 2013. The practitioner's primary taxonomy code is 291U00000X with license number 17D0452731 (KS). The provider is registered as an organization and their NPI record was last updated 10 years ago. The organization operates as a Single Specialty Group with one or more individual practitioners, all of who practice with the same area of specialization. The provider's is doing business as Central Kansas Medical Park Ancillary Service. The authorized official of this NPI record is Mr. Robert E Baum (Administrator)

NPI
1780922773
Provider Legal Name
GREAT BEND REGIONAL HOSPITAL, LLC
Other Organization Name
CENTRAL KANSAS MEDICAL PARK ANCILLARY SERVICE
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
1309 POLK ST GREAT BEND, KS 67530
Location Phone
(620) 792-4266
Location Fax
(620) 792-2665
Mailing Address
1309 POLK ST GREAT BEND, KS 67530
Mailing Phone
(620) 792-5404
Mailing Fax
(620) 792-2665
Is Sole Proprietor?
No
Is Organization Subpart?
Yes
Enumeration Date
01-25-2013
Last Update Date
03-10-2016
Code Navigator

Establishments like Central Kansas Medical Park Ancillary Service are healthcare facilities that may perform a wide range of laboratory procedures, assisted by doctors and medical technologists. Laboratories can be categorized according to their function as common diagnostic labs or specialty labs that conduct specialized or confirmatory tests. Different clinical laboratories could specialize in clinical chemistry, clinical microbiology, hematology, serology, clinical microscopy, cytopathology, molecular biology, or public health. Please inquire directly with this provider to confirm their test menu.

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

Clinical Medical Laboratory

Taxonomy Code
291U00000X
Type
Laboratories
License No.
17D0452731
License State
KS
Taxonomy Description
(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.

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization
License No. (State)
12085R0202XAllopathic & Osteopathic Physicians

Radiology
Diagnostic Radiology

106062 (KS)

Group Taxonomy 193400000X SINGLE SPECIALTY GROUP

This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.

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

MR. ROBERT E BAUM

Authorized Official Title
ADMINISTRATOR
Authorized Official Phone
(620) 792-5341

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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 1780922773, we treat the final digit (3) 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 67. The final step is to find the difference between that total and the next multiple of ten (70 - 67 = 3).

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
7
Unchanged
Pos 3
8
Doubled → 16 → 1 + 6
Pos 4
0
Unchanged
Pos 5
9
Doubled → 18 → 1 + 8
Pos 6
2
Unchanged
Pos 7
2
Doubled → 4
Pos 8
7
Unchanged
Pos 9
7
Doubled → 14 → 1 + 4
Check
3
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 8 → 16 → 7 9 → 18 → 9 2 → 4 7 → 14 → 5

Step 2: Add all digits plus the NPI constant

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

2 + 7 + 1 + 6 + 0 + 1 + 8 + 2 + 4 + 7 + 1 + 4 + 24 = 67

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

The next multiple of ten after 67 is 70. The difference is the calculated check digit.

70 - 67 = 3
This NPI is valid
The calculated check digit is 3, which matches the last digit of 1780922773.

Other Providers at the Same Location


The following 6 providers are registered at the same or a nearby location.

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
Nurse Practitioner (Family)
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

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1780922773, enumerated as an "organization" on January 25, 2013.

The provider is located at 1309 POLK ST GREAT BEND, KS 67530 and the phone number is (620) 792-4266.

Clinical Medical Laboratory with taxonomy code 291U00000X.