MEDICARE: CHARLOTTA A MATSON RN

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	163WH0200X	Home Health Registered Nurse	13-81197-062	KS

General Provider Information

NPI Number	:	1619840360
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	CHARLOTTA A MATSON RN

Provider Business Mailing Address
First Line	:	202 CRAIG ST
Second Line	:
City	:	ELLINWOOD
State	:	KS
Zip	:	67526-1104
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	3421 FOREST AVE
Second Line	:
City	:	GREAT BEND
State	:	KS
Zip	:	67530-3605
Country	:	US
Telephone Number	:	620-792-8171
Fax Number	:	620-792-3825

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	09/29/2025
Last Update Date	:	09/29/2025

Similar Medicare Providers

1386431468 — THE UNIVERSITY OF KANSAS HEALTH SYSTEM HOME HEALTH - GREAT BEND, LLC
Practice Location Address:

3421 FOREST AVE
GREAT BEND, KS
67530-3605

Practice Phone: 620-792-8171
Practice Fax:

1376330456 — THE UNIVERSITY OF KANSAS HEALTH SYSTEM HOSPICE - GREAT BEND, LLC
Practice Location Address:

3421 FOREST AVE
GREAT BEND, KS
67530-3605

Practice Phone: 620-792-8171
Practice Fax:

1659015980 — JODI SLAUGHTER
Practice Location Address:

3805 7TH AVE S
GREAT FALLS, MT
59405-3605

Practice Phone: 406-217-1082
Practice Fax:

1912777996 — PAUL EDWARD BOLAND
Practice Location Address:

3605 FAIRWAY DR
GREAT FALLS, MT
59401-2284

Practice Phone: 406-231-4588
Practice Fax:

1023976750 — RANDI STEINLE
Practice Location Address:

3725 21ST ST
GREAT BEND, KS
67530-7416

Practice Phone: 620-797-6592
Practice Fax:

1689321226 — HAYS MEDICAL CENTER, INC
Practice Location Address:

3800 10TH ST
GREAT BEND, KS
67530-3549

Practice Phone: 620-796-2135
Practice Fax: 620-796-2177

Directions to “ CHARLOTTA A MATSON RN” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.