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Central Kansas Medical Park Ancillary Services, P.A.

Clinical Medical Laboratory in Great Bend, KS · enumerated 2005 · authorized official Perry Smith, President.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1710988134

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Registry record

Entity type Organization (Type 2)
Legal business name Central Kansas Medical Park Ancillary Services, P.A.
Practice address 1309 Polk St, Great Bend, KS, 67530
Phone (620) 793-5404
Fax (620) 792-2665
Enumeration date Aug 9, 2005
Last updated in NPPES Apr 1, 2013

Taxonomy & classification

291U00000X Clinical Medical Laboratory Laboratories Primary

Authorized official

Name Perry Smith
Title President
Phone (620) 793-5404

Other identifiers

Identifier Type State Issuer
016144 Other KS BLUE SHIELD
100245710A Medicaid KS -

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

Where is Central Kansas Medical Park Ancillary Services, P.A. located?
The practice location on file with NPPES is in Great Bend, KS.
How current is this record?
Data comes from the CMS NPPES public dissemination file; this record was last updated in NPPES on 2013-04-01. Verify at npiregistry.cms.hhs.gov.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2013-04-01.