NPI 1336542661

St Rose Healthcare Center LLC

Organisation General Practice Physician Great Bend, KS

Practice location

Address: 3515 Broadway Ave, Great Bend, KS 67530-3633
Phone: (620) 792-2511

Authorised official

Name: John H Jeter
Title: President & Ceo
Phone: (785) 623-5523

Registered specialties

General Practice Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 208D00000X

Other General Practice providers in Kansas →

Registry record

NPI: 1336542661
Entity type: Organization
NPI issued: 1 Oct 2014
Record last updated: 1 Oct 2014

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.