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Organization
ST ROSE HEALTH CENTER INC
Active
Organization
ST ROSE HEALTH CENTER INC
Active
Other names
St Rose Imaging Services
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOHN H JETER M.D. (PRESIDENT)
(785) 623-5523
Entity
Organization
Contact information
Practice address
3515 BROADWAY AVE, GREAT BEND, KS 67530-3633
(620) 792-2511
Mailing address
3515 BROADWAY AVE, GREAT BEND, KS 67530-3633
Taxonomy
Speciality
Code
Description
License number
State
261QR0200X
Radiology Clinic/Center
Primary
—
NULL
Other
Enumeration date
11/25/2014
Last updated
02/07/2017
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