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St Rose Health Center Inc

NPI 1790180180ActiveOrganization· Family Medicine· Great Bend, KS

Family Medicine in Great Bend, Kansas, registered in NPPES in October 2014. The authorized official on file is John B. Moore, Exec Director Physician Practice.

Overview

NPI1790180180
StatusActive
Entity typeOrganization
NPI issuedOct 28, 2014
Last updated in NPPESFeb 7, 2017

Specialties and licenses

TaxonomyCodeLicenseState
Family Medicine Primary207Q00000X——

About license numbers in NPPES

Exclusion screening

ListResultDetails
HHS-OIG LEIE · Oct 9, 2026No matchChecked by NPI and by name + state
North Carolina Medicaid · Nov 4, 2026No match—
New York OMIG · Nov 4, 2026No match—
Ohio Medicaid · Nov 4, 2026No match—
Pennsylvania Medicheck · Nov 4, 2026No match—
Washington HCA · Nov 4, 2026No match—

Official OIG search · How matching works ·Bulk check a roster

Medicare

Enrollment (PECOS)Not in the public enrollment file of Oct 1, 2026

Medicare sources and data years

Other Family Medicine providers in Great Bend

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