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Central Kansas Medical Center — NPI 1790046019, Great Bend, KS | NPI Central

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NPI 1790046019

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Central Kansas Medical Center

NPI 1790046019 · Certified Registered Nurse Anesthetist · Great Bend, KS

Provider details

NPI number: 1790046019
Entity type: Organization
Primary specialty: Certified Registered Nurse AnesthetistPhysician Assistants & Advanced Practice Nursing Providers
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

Certified Registered Nurse AnesthetistPrimary367500000X
Physician Assistants & Advanced Practice Nursing Providers

Practice location

3515 Broadway Ave

Great Bend, KS 67530-3633

Phone: (620) 792-2511

Approximate (ZIP-level) locationGet directions

More KS providers

Mailing address

Po Box 388

Newton, KS 67114-0388

Other names (DBA / former)

Doing business as: St Rose Anesthesia Pathology Services

Registry dates

Enumerated: 2012-06-04
Last updated: 2012-09-12

Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.