NPI 1760885008
St Rose Healthcare Center LLC
Practice location
- Address
- 3515 Broadway Ave, Great Bend, KS 67530-3633
- Phone
- (620) 792-2511
Authorised official
- Name
- John H Jeter
- Title
- President & Ceo
- Phone
- (785) 623-5523
Registered specialties
Physiological Laboratory
Primary
Registry record
- NPI
- 1760885008
- Entity type
- Organization
- NPI issued
- 1 Oct 2014
- Record last updated
- 1 Oct 2014
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.