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NPI Code Detail

MEDICARE: CENTRAL PLAINS SURGICAL ASSOCIATES, LLC

MEDICARE: CENTRAL PLAINS SURGICAL ASSOCIATES, LLC
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
1208600000XSurgery Physician

General Provider Information

NPI Number : 1902771306
Entity Type Code : Organization
Provider Name (Legal Business Name) : CENTRAL PLAINS SURGICAL ASSOCIATES, LLC
Provider Business Mailing Address
First Line : 304 C ST
Second Line :
City : CLAFLIN
State : KS
Zip : 67525-9266
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 514 CLEVELAND ST
Second Line :
City : GREAT BEND
State : KS
Zip : 67530-3562
Country : US
Telephone Number : 620-792-8833
Fax Number :
Authorized Official
Title or Position : MANAGER
Name : BRI MAHIN
Credential :
Telephone Number : 620-282-8823
Provider Enumeration Date : 10/07/2025
Last Update Date : 02/09/2026

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