St. John Physicians, Inc.
Doing business as St John Clinic
Rural health clinic in Coffeyville, KS, Medicare certification number 178934.
Medicare certification
Provider of Services- CCN
- 178934
- Status
- Active
- Provider type
- Rural health clinic
- Control type
- 1B
- Participating since
- Aug 22, 1996
- Last certification
- Jul 6, 2011
- Most recent change of ownership
- Jun 30, 2014 (3 total)
- Address
- 1505 W 11TH, Suite C
Coffeyville, KS 67337
(620) 251-5400
NPI records for this facility (CCN to NPI Mapping) 2
-
dba Jane Phillips Coffeyville Rural Health Clinic
- Rural Health Clinic/Center
- Coffeyville, KS
- NPI 1669792818
Medicare enrollment -
- Internal Medicine Physician
- Tulsa, OK
- NPI 1336194406
Medicare enrollment
Other rural health clinics in Coffeyville, KS
Sources for this page
- Provider of Services: the certification, provider type, beds and status.
- Medicare Care Compare: the star rating and every measure on this page, with the state and national rates CMS publishes beside them.
- NPPES NPI Registry: the NPI records connected to this certification.