# ST. JOHN PHYSICIANS, INC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** SJC Caney Rural Health Clinic
- **Organization subpart:** No

## Provider details

- **NPI number:** 1912961418
- **Authorized official:** GAYLE BURDEN (ADMINISTRATOR)
- **Authorized official phone:** (918) 331-1090

## Contact information

- **Practice address:** 218 W 4TH AVE, CANEY, KS 67333-1462
- **Practice address phone:** (620) 879-2182
- **Practice address fax:** (620) 879-2246
- **Mailing address:** 218 W 4TH AVE, CANEY, KS 67333-1462
- **Mailing address phone:** (620) 879-2182
- **Mailing address fax:** (620) 879-2246

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QR1300X | Rural Health Clinic/Center | 1501670 | KS | Yes |
| 363L00000X | Nurse Practitioner | — | NULL | — |
| 363L00000X | Nurse Practitioner | — | — | — |

## Other

- **Enumeration date:** 04/13/2006
- **Last updated:** 08/05/2016