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Organization
STEPHANIE SUBER DO AN OPERATING DIVISION OF SAINT JOHN HOSPITAL
Active
Organization
STEPHANIE SUBER DO AN OPERATING DIVISION OF SAINT JOHN HOSPITAL
Active
Parent organization
SISTERS OF CHARITY OF LEAVENWORTH HEALTH SYSTEMS
Organization subpart
Yes
Provider details
NPI number
Legal business name
SISTERS OF CHARITY OF LEAVENWORTH HEALTH SYSTEMS
Authorized official
MICHAEL A DORSEY (PRESIDENT CEO)
(913) 596-4000
Entity
Organization
Contact information
Practice address
1004 PROGRESS DRIVE, SUITE 220, LANSING, KS 66043-6326
(913) 772-8200
(913) 722-0372
Mailing address
PO BOX 12264, KANSAS CITY, KS 66112-0264
(913) 825-6512
(913) 328-7011
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
PENDING
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
111366
BCBS KANSAS
KS
01
—
DG6039
RAILROAD MEDICARE
KS
Enumeration date
07/17/2007
Last updated
03/26/2008
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