Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.

Central Kansas Medical Center

Organization Certified Registered Nurse Anesthetist · NPI 1790046019

Central Kansas Medical Center provides Certified Registered Nurse Anesthetist services in Great Bend, Kansas. Registered with an NPI since 2012.

In the registry since
2012

Practice location Address checks out

3515 Broadway Ave
Great Bend, KS 67530-3633 Not confirmed with CMS for 14 years — call before visiting
Phone: (620) 792-2511
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Certified Registered Nurse Anesthetist (primary) Taxonomy 367500000X

Record details

NPI number1790046019
Entity typeOrganization (Type 2)
Organization subpartYes
Parent organizationCentral Kansas Medical Center Dba St Rose Ambulatory & Surgery Center
Authorized official Amanda Vaughan — Cfo · (620) 272-2222
Other names St Rose Anesthesia Pathology Services
NPI enumeratedJune 4, 2012
Last updated in NPPESSeptember 12, 2012
Mailing addressPo Box 388, Newton, KS 67114-0388

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