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
—
—
Other
Enumeration date
04/13/2006
Last updated
08/05/2016
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