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

Great Bend Childrens Clinic PA

Organization Rural Health Clinic/Center · NPI 1619955853

Great Bend Childrens Clinic PA is a Rural Health Clinic/Center in Great Bend, Kansas. Licensed in Kansas. Registered with an NPI since 2006.

Licensed in
KS
In the registry since
2006
What do these letters mean?
PA — Professional association
A form of business registration, not a clinical qualification.

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Practice location Address checks out

1021 Eisenhower Ave Great Bend Children's Clinic
Great Bend, KS 67530-3213
Phone: (620) 792-5437
Fax: (620) 793-5245
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Rural Health Clinic/Center (primary) Taxonomy 261QR1300X (KS)

Record details

NPI number1619955853
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official John Edmonds — Practice Administrator · (620) 792-5437
NPI enumeratedJanuary 6, 2006
Last updated in NPPESOctober 12, 2010
Mailing address1021 Eisenhower Ave, Great Bend Children'S Clinic, Great Bend, KS 67530-3213

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