Organization
ST. ROSE HEALTH CENTER INC
Active
Other names
St. Rose Therapy Services
Organization subpart
No
Provider details
NPI number
Authorized official
JOHN JETER MD (CEO)
(785) 623-5523
Entity
Organization
Contact information
Practice address
3515 BROADWAY AVE, GREAT BEND, KS 67530-3633
(620) 786-6515
(620) 792-6602
Mailing address
3515 BROADWAY AVE, GREAT BEND, KS 67530-3633
(620) 786-6515
(620) 792-6602
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
—
—
Other
Enumeration date
09/15/2015
Last updated
02/07/2017
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