# ST. JOHN PHYSICIANS, INC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Jane Phillips Coffeyville Rural Health Clinic
- **Organization subpart:** No

## Provider details

- **NPI number:** 1669792818
- **Authorized official:** GAYLE J BURDEN (DIRECTOR)
- **Authorized official phone:** (918) 331-1090

## Contact information

- **Practice address:** 1505 W 4TH ST, SUITE C, COFFEYVILLE, KS 67337-3307
- **Practice address phone:** (620) 251-5400
- **Practice address fax:** (620) 251-5412
- **Mailing address:** 1505 W 11TH ST, SUITE C, COFFEYVILLE, KS 67337-3613
- **Mailing address phone:** (620) 251-5400
- **Mailing address fax:** (620) 251-5412

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QR1300X | Rural Health Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 06/09/2010
- **Last updated:** 08/09/2016