UKHS GREAT BEND, LLC
NPI 1811553381
Clinic/Center - Physical Therapy in Great Bend, KS

NPI Status: Active since May 10, 2019

Contact Information

3515 BROADWAY AVE
GREAT BEND, KS
ZIP 67530
Phone: (206) 786-6515
Fax: (620) 792-6602

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  • Organization
  • Clinic/Center
  • Physical Therapy
  • CLIA Number: 17D0915738
  • CLIA Cert. Type: Physician Office
  • 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 provider established in Great Bend, Kansas operating as a Clinic/center, focusing in physical therapy . The healthcare provider is registered in the NPI registry with number 1811553381 assigned on May 2019. The practitioner's primary taxonomy code is 261QP2000X. The provider is registered as an organization and their NPI record was last updated 7 years ago. The authorized official of this NPI record is Jesse Mock (Ceo)

NPI
1811553381
Provider Name
UKHS GREAT BEND, LLC
Entity Type
Organization
Location Address
3515 BROADWAY AVE GREAT BEND, KS 67530
Location Phone
(206) 786-6515
Location Fax
(620) 792-6602
Mailing Address
3515 BROADWAY AVE GREAT BEND, KS 67530
Mailing Phone
(206) 786-6515
Mailing Fax
(620) 792-6602
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
05-10-2019
Last Update Date
05-10-2019
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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 Physical Therapy

Taxonomy Code
261QP2000X
Type
Ambulatory Health Care Facilities
Taxonomy Description
An entity, facility, or distinct part of a facility providing diagnostic and treatment services related to physical rehabilitation. Physical therapy is a dynamic profession with an established theoretical and scientific base and widespread clinical applications in the restoration, maintenance, and promotion of optimal physical function. Physical therapists and physical therapist assistants are licensed health care professionals who are experts in the movement system and help individuals maintain, restore, and improve movement, activity, and functioning, thereby enabling optimal performance and enhancing health, well-being, and quality of life. Their services prevent, minimize, or eliminate impairments of body functions and structures, activity limitations, and participation restrictions. Physical therapy is provided for individuals of all ages who have or may develop impairments, activity limitations, and participation restrictions related to (1) conditions of the musculoskeletal, neuromuscular, cardiovascular, pulmonary, and/or integumentary systems or (2) the negative effects attributable to unique personal and environmental factors as they relate to human performance.

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
CEO
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
Physician Office
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.

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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 1811553381, we treat the final digit (1) 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 59. The final step is to find the difference between that total and the next multiple of ten (60 - 59 = 1).

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
8
Unchanged
Pos 3
1
Doubled → 2
Pos 4
1
Unchanged
Pos 5
5
Doubled → 10 → 1 + 0
Pos 6
5
Unchanged
Pos 7
3
Doubled → 6
Pos 8
3
Unchanged
Pos 9
8
Doubled → 16 → 1 + 6
Check
1
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 1 → 2 5 → 10 → 1 3 → 6 8 → 16 → 7

Step 2: Add all digits plus the NPI constant

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

2 + 8 + 2 + 1 + 1 + 0 + 5 + 6 + 3 + 1 + 6 + 24 = 59

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

The next multiple of ten after 59 is 60. The difference is the calculated check digit.

60 - 59 = 1
This NPI is valid
The calculated check digit is 1, which matches the last digit of 1811553381.

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
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

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1811553381, enumerated as an "organization" on May 10, 2019.

The provider is located at 3515 BROADWAY AVE GREAT BEND, KS 67530 and the phone number is (206) 786-6515.

Clinic/Center with taxonomy code 261QP2000X and a focus in Physical Therapy.