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

St Rose Health Center Inc

Organization Family Medicine Physician · NPI 1124400361

St Rose Health Center Inc provides Family Medicine Physician services in Great Bend, Kansas. Registered with an NPI since 2015.

In the registry since
2015
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Address checks out

3515 Broadway Ave
Great Bend, KS 67530-3633
Phone: (620) 792-2511
Fax: (620) 792-3767
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X

Record details

NPI number1124400361
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official John Moore — Exec Director Ppa · (785) 623-2185
Other names St. Rose Convenient Care
NPI enumeratedJune 24, 2015
Last updated in NPPESFebruary 7, 2017
Mailing address3515 Broadway Ave, Great Bend, KS 67530-3633

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