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Contact Information

HEART OF KANSAS FAMILY HEALTH CARE, INC.
1905 19TH ST
GREAT BEND, KS67530-2502
 Phone: 620-792-5700
 Fax: 855-463-0851
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Federally Qualified Health Center (FQHC)

261QF0400X B4[14] Federally Qualified Health Center
 

Family Medicine

207Q00000X 08 Physician/Family Practice
Indicates primary specialty

NPI Profile & details for HEART OF KANSAS FAMILY HEALTH CARE, INC.

NPI Number 1184739443
LBN Legal business name HEART OF KANSAS FAMILY HEALTH CARE, INC.
Authorized official FREDDY GUNN - (CFO)
Entity Organization
Organization subpart 1 No
Enumeration date 08/20/2006
Last updated 05/08/2026 - About a month ago
Identifiers
KS Medicaid 30003932810007
KS Other 160510 BLUE SHIELD
KS Other 461035 CHILDRENS MERCY
KS Other DC6555 RAILROAD MEDICARE
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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