ST. JOHN'S MEDICAL GROUP NPI 1962438457

NPI Information

NPI: 1962438457
Provider Name: ST. JOHN'S MEDICAL GROUP
Classification: Clinic/Center - 261QR1300X
Entity Type: Organization

Specialization: Rural Health

Address:
445 E 10TH ST
BAXTER SPRINGS, KS
ZIP 66713
Phone: (620) 856-3469
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ST. JOHN'S MEDICAL GROUP is a rural health clinic center in Baxter Springs, KS. ST. JOHN'S MEDICAL GROUP NPI is 1962438457. The provider is registered as an organization entity type.

The provider's business location address is:

445 E 10TH ST
BAXTER SPRINGS, KS
ZIP 66713-614
Phone: (620) 856-3469
Fax: (620) 856-5330

The provider's authorized official is Paul Ebmeier .
The authorized official title is Coo and has the following contact phone number (417) 627-8967.

The enumeration date for this NPI number is 6/25/2006 and was last updated on 8/22/2020.

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
1	261QR1300X	Clinic/Center	Rural Health			Yes

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: 5/5/2024

NPI Synchronization or Removal

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