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

St Rose Health Center Inc

Organization Family Medicine Physician · NPI 1124400361

St Rose Health Center Inc is a Family Medicine Physician 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

Other providers in Great Bend