DCCCA, Great Bend Addiction Services – Substance Use Disorder Rehabilitation Clinic/Center, NPI 1336329911

DCCCA, Great Bend Addiction Services is a healthcare provider. based in Lawrence, Kansas. specializing in Substance Use Disorder Rehabilitation Clinic/Center. The organization holds a License No. 678 (KS). The NPI Number for DCCCA, Great Bend Addiction Services is 1336329911

Main info

Organization
Name
DCCCA, Great Bend Addiction Services
NPI
1336329911
Phone
(785) 841-4138
Address
3312 CLINTON PKWY
Authorized Official
KERYE J. JACKLSON CFO CPA, CMA, MBA
Enumeration Date
12 November 2007
Last Update Date
29 May 2020
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience60
Completeness80
Years active:18State licenses:1Digital endpointsUpdated within 12 months

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Provider Addresses for DCCCA, Great Bend Addiction Services

  • 3312, Clinton Parkway, Lawrence, Douglas County, Kansas, 66047, United States

    LAWRENCE, KS 660473624

    Phone: (785) 841-4138

    Fax: (785) 841-5777

    Type: Mailing

  • 2110, Kansas Avenue, Great Bend, Barton County, Kansas, 67530, United States

    GREAT BEND, KS 675302516

    Phone: (620) 792-4665

    Fax: (620) 792-2445

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

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Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

No Medicare enrollment or revalidation data available for this provider in our database.

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Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 66047)

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Reviews

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Frequently asked questions

What is the standard ID for DCCCA, Great Bend Addiction Services in the U.S.?
In the U.S., DCCCA, Great Bend Addiction Services is identified by NPI 1336329911.
Is DCCCA, Great Bend Addiction Services currently accepting referrals based on NPI status?
Registry metadata lists DCCCA, Great Bend Addiction Services as active.
What does the directory say DCCCA, Great Bend Addiction Services does?
Insurance directories may phrase it differently, but here DCCCA, Great Bend Addiction Services maps to Substance Use Disorder Rehabilitation Clinic/Center. Clinical services aligned with this taxonomy classification.
What geographic area is tied to DCCCA, Great Bend Addiction Services?
DCCCA, Great Bend Addiction Services is associated with Lawrence, Kansas in the same public data insurers reference.
Why is information missing for DCCCA, Great Bend Addiction Services?
Providers choose how much contact data to publish. Missing fields do not mean the profile is fake.

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