St. Rose Health Center Inc

Primary specialty

Physical Therapy Clinic/CenterTaxonomy code 261QP2000X

Legal business name

ST. ROSE HEALTH CENTER INC

Doing business as

St. Rose Therapy Services

Practice address

3515 Broadway Ave
Great Bend, KS 67530-3633

Phone

(620) 786-6515

Fax

(620) 792-6602

NPI assigned

Sep 15, 2015

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

John Jeter, MD

Title

Ceo

Phone

(785) 623-5523

Specialties & licenses 1

Addresses

Other names 1

• St. Rose Therapy Services Doing business as

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1442275200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1486425600000",
    "number": "1669840195",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3515 BROADWAY AVE",
            "city": "GREAT BEND",
            "state": "KS",
            "postal_code": "675303633",
            "telephone_number": "620-786-6515",
            "fax_number": "620-792-6602"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3515 BROADWAY AVE",
            "city": "GREAT BEND",
            "state": "KS",
            "postal_code": "675303633",
            "telephone_number": "620-786-6515",
            "fax_number": "620-792-6602"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ST. ROSE HEALTH CENTER INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-09-15",
        "last_updated": "2017-02-07",
        "status": "A",
        "authorized_official_last_name": "JETER",
        "authorized_official_first_name": "JOHN",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "785-623-5523",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "St. Rose Therapy Services",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• St Rose Healthcare Center LLC
• St Rose Healthcare Center LLC
• St Rose Healthcare Center LLC
• St Rose Healthcare Center LLC
• St. Rose Health Center Inc (St. Rose Surgical Services)
• St. Rose Health Center LLC
• Patrick W Stang, MD
• Linda Sue Stanley, LMFT, AAPS
• Mark B Steffen, MD
• Randi Steinle

• Physical Therapy Clinic/Center in Great Bend, KS
• Providers in Great Bend, KS by specialty
• Physical Therapy Clinic/Center in Kansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 7, 2017; 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.