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St Rose Healthcare Center Llc
General Practice Physician in Great Bend, Kansas
NPI 1336542661

St Rose Healthcare Center Llc is a General Practice Physician based in Great Bend, KS. St Rose Healthcare Center Llc practices in Great Bend, KS. The NPI Number for St Rose Healthcare Center Llc is 1336542661 and holds a License No. (Kansas).

The current practice location address for St Rose Healthcare Center Llc is 3515 Broadway Ave, Great Bend, KS and can be reached out via phone at 620-792-2511.

Location: 3515 Broadway Ave, Great Bend, KS, 67530-3633
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1336542661
Provider Name
St Rose Healthcare Center Llc
Credential
Provider Entity Type
Organization
Address
3515 Broadway Ave, Great Bend, KS, 67530-3633
Phone Number
620-792-2511
Fax Number
Provider Enumeration Date
10/01/2014
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
3515 Broadway Ave
City
Great Bend
State
Kansas
Zip
67530-3633
Phone Number
620-792-2511
Fax Number
person
Provider Business Mailing Address Details
Address
3515 Broadway Ave
City
Great Bend
State
Kansas
Zip
67530-3633
Phone Number
620-792-2511
Fax Number
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
General Practice
Speciality
-
Taxonomy
208D00000X
License No.
()
Definition
Definition to come...
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