ST. JOHN PHYSICIANS INC NPI 1912961418

NPI Information

  • NPI: 1912961418
  • Provider Name: ST. JOHN PHYSICIANS, INC
  • Classification: Clinic/Center - 261QR1300X
  • Specialization: Rural Health
  • Entity Type: Organization
  • Doing Business As: SJC CANEY RURAL HEALTH CLINIC
  • Address: 218 W 4TH AVE
    CANEY, KS
    ZIP 67333
  • Phone: (620) 879-2182

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NPI Details

ST. JOHN PHYSICIANS, INC is a rural health clinic center in Caney, KS. ST. JOHN PHYSICIANS, INC NPI is 1912961418. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Sjc Caney Rural Health Clinic.

The provider's business location address is:

218 W 4TH AVE
CANEY, KS
ZIP 67333-462
Phone: (620) 879-2182
Fax: (620) 879-2246

The provider's authorized official is Gayle Burden .
The authorized official title is Administrator and has the following contact phone number (918) 331-1090.

The enumeration date for this NPI number is 4/13/2006 and was last updated on 8/5/2016.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1363L00000XNurse PractitionerNo
2261QR1300XClinic/CenterRural Health1501670KANSASYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1173893MEDICARE OSCAR/CERTIFICATIONKANSAS

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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