OrganizationActive
Central Kansas Medical Center
NPI 1770834806 · Clinical Pathology/Laboratory Medicine Physician · Great Bend, KS
Provider details
- NPI number
- 1770834806
- Entity type
- Organization
- Primary specialty
- Clinical Pathology/Laboratory Medicine PhysicianAllopathic & Osteopathic Physicians
- Parent organization
- Central Kansas Medical Center Dba St. Rose Ambulatory & Surgery Center
- Organization subpart
- Yes
- Authorized official
- Amanda Vaughan, Cfo(620) 272-2222
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Practice location
3515 Broadway Ave
Great Bend, KS 67530-3633
Phone: (620) 792-2511
Approximate (ZIP-level) locationGet directions
Mailing address
Po Box 388
Newton, KS 67114-0388
Other names (DBA / former)
- Doing business as
- St Rose Anesthesia Pathology Services
Registry dates
- Enumerated
- 2012-09-28
- Last updated
- 2012-09-28
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.