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Organization

ST. JOHN'S INC.

Active
Other names
St. John's Clinic
Organization subpart
No

Provider details

NPI number
Authorized official
MR. BOB BETHE;; (CHIEF EXECUTIVE OFFICER)
(620) 534-3085
Entity
Organization

Contact information

Practice address
208 MARC WAGNER RD, VICTORIA, KS 67671
(785) 735-2208
(785) 735-2270
Mailing address
104 E. 3RD ST, P.O. BOX 186, ALDEN, KS 67512-0186
(620) 534-3085
(620) 534-3086

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary

Other

Enumeration date
06/14/2006
Last updated
08/22/2020
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