NPIMap

Organization Active NPI

St. John's Inc.

Doing business as St. John's Clinic

  • Family Nurse Practitioner
  • Victoria, KS
National Provider Identifier
1841233913
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
Legal business name
ST. JOHN'S INC.
Doing business as
St. John's Clinic
Practice address
208 Marc Wagner Rd
Victoria, KS 67671
Phone
(785) 735-2208
Fax
(785) 735-2270
NPI assigned
Jun 14, 2006
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mr. Bob Bethe;;
Title
Chief Executive Officer
Phone
(620) 534-3085

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X NU Primary

Addresses

Primary practice location

208 Marc Wagner Rd
Victoria, KS 67671

Mailing address

104 E. 3Rd St
P.O. Box 186
Alden, KS 67512-0186
Phone (620) 534-3085

Other names 1

  • St. John's Clinic Doing business as

National Provider Directory

National Provider Directory

Member of 1

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

NPI Registry JSON

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

{
    "created_epoch": "1150243200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1841233913",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "104 E. 3RD ST",
            "address_2": "P.O. BOX 186",
            "city": "ALDEN",
            "state": "KS",
            "postal_code": "675120186",
            "telephone_number": "620-534-3085",
            "fax_number": "620-534-3086"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "208 MARC WAGNER RD",
            "city": "VICTORIA",
            "state": "KS",
            "postal_code": "67671",
            "telephone_number": "785-735-2208",
            "fax_number": "785-735-2270"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ST. JOHN'S INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-14",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "BETHE;;",
        "authorized_official_first_name": "BOB",
        "authorized_official_title_or_position": "CHIEF EXECUTIVE OFFICER",
        "authorized_official_telephone_number": "620-534-3085",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "St. John's Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Victoria, KS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.