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Organization
ST. JOHN PHYSICIANS, INC
Active
Organization
ST. JOHN PHYSICIANS, INC
Active
Other names
SJC Caney Rural Health Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
GAYLE BURDEN (ADMINISTRATOR)
(918) 331-1090
Entity
Organization
Contact information
Practice address
218 W 4TH AVE, CANEY, KS 67333-1462
(620) 879-2182
(620) 879-2246
Mailing address
218 W 4TH AVE, CANEY, KS 67333-1462
(620) 879-2182
(620) 879-2246
Taxonomy
Speciality
Code
Description
License number
State
261QR1300X
Rural Health Clinic/Center
Primary
1501670
KS
363L00000X
Nurse Practitioner
—
NULL
363L00000X
Nurse Practitioner
—
—
Other
Enumeration date
04/13/2006
Last updated
08/05/2016
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