Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Central Kansas Medical Center

Organization Clinical Pathology/Laboratory Medicine Physician · NPI 1770834806

Central Kansas Medical Center is a Clinical Pathology/Laboratory Medicine Physician 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
Phone: (620) 792-2511
Show map & directions

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

Specialties & licences

Clinical Pathology/Laboratory Medicine Physician (primary) Taxonomy 207ZP0105X

Record details

NPI number1770834806
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 enumeratedSeptember 28, 2012
Last updated in NPPESSeptember 28, 2012
Mailing addressPo Box 388, Newton, KS 67114-0388