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

Great Bend Regional Hospital, LLC

Organization Diagnostic Radiology Physician · NPI 1780922773

Great Bend Regional Hospital, LLC is a Diagnostic Radiology Physician in Great Bend, Kansas. Licensed in Kansas. Registered with an NPI since 2013.

Licensed in
KS
In the registry since
2013
Specialties on file
2
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

1309 Polk St
Great Bend, KS 67530-3644
Phone: (620) 792-4266
Fax: (620) 792-2665
Show map & directions

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

Specialties & licences

Clinical Medical Laboratory (primary) Taxonomy 291U00000X · Licence 17D0452731 (KS)
Diagnostic Radiology Physician Taxonomy 2085R0202X · Licence 106062 (KS)

Record details

NPI number1780922773
Entity typeOrganization (Type 2)
Organization subpartYes
Parent organizationGreat Bend Regional Hospital, LLC
Authorized official Robert Baum — Administrator · (620) 792-5341
Other names Central Kansas Medical Park Ancillary Service
NPI enumeratedJanuary 25, 2013
Last updated in NPPESMarch 10, 2016
Mailing address1309 Polk St, Great Bend, KS 67530

Other providers in Great Bend