NPIMap

Organization Active NPI

St Rose Health Center Inc

  • Home Health Agency
  • Great Bend, KS
National Provider Identifier
1295130441
Registry record updated Oct 28, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
ST ROSE HEALTH CENTER INC
Practice address
3515 Broadway Ave
Suite 214
Great Bend, KS 67530-3633
Phone
(620) 792-8171
Fax
(620) 792-3825
NPI assigned
Oct 30, 2014
Organization subpart
No

Authorized official

NPPES NPI Registry
Name
Dr. John H Jeter, M.D.
Title
President
Phone
(785) 623-5523

Member of 3

Organizations this organization is a member of, according to the National Provider Directory.

National Provider Directory

National Provider Directory

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary

Addresses

NPPES NPI Registry

Primary practice location

3515 Broadway Ave
Suite 214
Great Bend, KS 67530-3633

Mailing address

3515 Broadway Ave
Suite 214
Great Bend, KS 67530-3633

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Oct 28, 2016.

{
    "created_epoch": "1414627200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1477612800000",
    "number": "1295130441",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3515 BROADWAY AVE",
            "address_2": "SUITE 214",
            "city": "GREAT BEND",
            "state": "KS",
            "postal_code": "675303633"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3515 BROADWAY AVE",
            "address_2": "SUITE 214",
            "city": "GREAT BEND",
            "state": "KS",
            "postal_code": "675303633",
            "telephone_number": "620-792-8171",
            "fax_number": "620-792-3825"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ST ROSE HEALTH CENTER INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-10-30",
        "last_updated": "2016-10-28",
        "status": "A",
        "authorized_official_last_name": "JETER",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "H",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "785-623-5523",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Great Bend, KS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 28, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.