OrganizationActive
St Rose Health Center Inc
NPI 1619372000 · Internal Medicine Physician · Great Bend, KS
Provider details
- NPI number
- 1619372000
- Entity type
- Organization
- Primary specialty
- Internal Medicine PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- John Moore, Exec Director of Physician Practice(785) 623-2185
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
Detailed profile(75/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
11 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
3515 Broadway Ave
Great Bend, KS 67530-3633
Phone: (620) 793-8429
Fax: (620) 793-6014
Street-level locationGet directions
Mailing address
3515 Broadway Ave
Great Bend, KS 67530-3633
Other names (DBA / former)
- Doing business as
- Great Bend Internists
Registry dates
- Enumerated
- 2014-10-28
- Last updated
- 2017-02-07
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.