Organization
ST. JOHN PHYSICIANS, INC
Active
Other names
Jane Phillips Coffeyville Rural Health Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
GAYLE J BURDEN (DIRECTOR)
(918) 331-1090
Entity
Organization
Contact information
Practice address
1505 W 4TH ST, SUITE C, COFFEYVILLE, KS 67337-3307
(620) 251-5400
(620) 251-5412
Mailing address
1505 W 11TH ST, SUITE C, COFFEYVILLE, KS 67337-3613
(620) 251-5400
(620) 251-5412
Taxonomy
Speciality
Code
Description
License number
State
261QR1300X
Rural Health Clinic/Center
Primary
—
—
Other
Enumeration date
06/09/2010
Last updated
08/09/2016
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