| Organization Name: | CENTRAL KANSAS MEDICAL CENTER |
| NPI Number: | 1265536510 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | DONITA WOLF (MANAGER) |
| Mailing Address: | 3520 Lakin Great Bend |
| State: | KS US |
| Postal Code: | 675303646 |
| Phone Number: | 6207928171 |
| Fax Number: | 6207923825 |
| NPI Enumeration Date: | 09/08/2006 |
| NPI Last Update Date: | 05/02/2012 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 251G00000X |
| License Number: | 005006 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | KS |
| Taxonomy Type: | Agencies |
| Taxonomy Classification: | Hospice Care, Community Based |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |