PRATT REGIONAL MEDICAL CENTER CORPORATION (NPI# 1639278286) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1639278286 |
Entity Type | Organization |
Organization Name | PRATT REGIONAL MEDICAL CENTER CORPORATION |
Other Organization Name | ST JOHN CLINIC |
Practice Address |
609 E 1st Ave Saint John KS 67576-2223 |
Mailing Address |
Po Box 309 Stafford KS 67578-0309 |
Practice Telephone | 6205493251 |
Practice Fax Number | 6205493853 |
Mailing Telephone | 6205493251 |
Enumeration Date | 2006-09-21 |
Last Update Date | 2015-03-26 |
Authorized Official Name | MRS. SUSAN PAGE (PRESIDENT & CEO) |
Authorized Official Telephone | 6206727451 |
Is Organization Subpart | Y |
Parent Organization Name | PRATT REGIONAL MEDICAL CENTER CORPORATION |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 261QR1300X |
Clinic/Center Specialization: Rural Health |
Ambulatory Health Care Facilities |
State | Issuer | Identifier | Type Code |
---|---|---|---|
KS | 100071250D | 05 |
Other Name | Type Code |
---|---|
St John Clinic | Doing Business As Name - Organization |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1124632997 | Pratt Regional Medical Center Corporation | Clinic/Center | 1600 E 1st St, Pratt, KS 67124-2070 | 2020-08-31 |
1235206681 | Pratt Regional Medical Center Corporation | Skilled Nursing Facility | 227 S Howard St, Pratt, KS 67124-3044 | 2006-11-29 |
1750472429 | Pratt Regional Medical Center Corporation | Clinic/Center | 802 W Broadway St, Stafford, KS 67578-1402 | 2006-09-27 |
1467551069 | Pratt Regional Medical Center Corporation | Clinic/Center | 807 E 4th St, Kinsley, KS 67547-1219 | 2006-09-21 |
1053346163 | Pratt Regional Medical Center Corporation | Surgery | 124 Commodore St, Suite B, Pratt, KS 67124-2993 | 2006-07-11 |
1225446982 | Pratt Regional Medical Center Corporation | Home Health | 200 Commodore St, Pratt, KS 67124-2903 | 2014-07-25 |
1881025393 | Pratt Regional Medical Center Corporation | Clinic/Center | 420 Country Club Rd, Pratt, KS 67124-3125 | 2013-12-09 |
1407909963 | Pratt Regional Medical Center Corporation | Medicare Defined Swing Bed Unit | 200 Commodore St, Pratt, KS 67124-2903 | 2007-01-19 |
1508948449 | Pratt Regional Medical Center Corporation | Home Health | 200 Commodore St, Pratt, KS 67124-2903 | 2006-10-19 |
1417039355 | Pratt Regional Medical Center Corporation | Emergency Medicine | 200 Commodore St, Pratt, KS 67124-2903 | 2006-10-19 |
Street Address |
609 E 1ST AVE |
City | SAINT JOHN |
State | KS |
Zip Code | 67576-2223 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1457355885 | County of Stafford | Ambulance | 636 E. 4th, St. John, KS 67576 | 2005-06-13 |
1952664708 | Sunflower Surgical Specialists | Surgery | 268 Ne 140th Street, Saint Jones, KS 67576-1594 | 2012-06-18 |
1124268115 | Carl C Feril Jr. | Marriage & Family Therapist | 608 N Exchange St, Saint John, KS 67576-1627 | 2009-03-03 |
1063746675 | St. John - Hudson Usd 350 | Local Education Agency (LEA) | 505 N Broadway St, Saint John, KS 67576-1644 | 2009-09-29 |
1326181066 | Leisure Homestead Association | Skilled Nursing Facility | 402 N Santa Fe St, Saint John, KS 67576-1800 | 2007-02-14 |
1790136000 | Kylie Gaughan | Speech-Language Pathologist | 402 N Santa Fe St, St John, KS 67576-1800 | 2016-06-28 |
1013119684 | Renee Suppes | Occupational Therapist | 402 N Santa Fe St, Saint John, KS 67576-1800 | 2007-06-04 |
1538384748 | Eloise Penka Doran | Physical Therapist | 425 N Broadway St, Saint John, KS 67576-1833 | 2007-04-13 |
1912099706 | Joe Rosenberg D.d.s., P.a. | Dentist | 307 E 3rd Ave, Saint John, KS 67576-2014 | 2006-09-29 |
1104886563 | Joseph Orley Rosenberg | Dentist | 205 N Santa Fe St, Saint John, KS 67576-2029 | 2006-03-27 |
Find all providers in zip 67576 |
Taxonomy Code | 261QR1300X |
Grouping | Ambulatory Health Care Facilities |
Classification | Clinic/Center |
Specialization | Rural Health |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1083229488 | Haskell Regional Hospital, Inc. | Clinic/Center | 429 Maple St, Chetopa, KS 67336-9101 | 2020-09-11 |
1720609738 | Meade Hospital District | Clinic/Center | 304 N Aztec St, Montezuma, KS 67867-8874 | 2020-04-30 |
1720639644 | Labette County Medical Center | Clinic/Center | 613 Maple Street, Chetopa, KS 67336 | 2019-09-23 |
1134774821 | Morris County Hospital | Clinic/Center | 106 W Mackenzie St, White City, KS 66872-9797 | 2019-08-08 |
1487192845 | Clay County Medical Center | Clinic/Center | 701 Schurle Way, Riley, KS 66531 | 2017-02-06 |
1295284842 | Coffeyville Regional Medical Center, Inc. | Clinic/Center | 122 W Myrtle St Lowr Level, Independence, KS 67301-3317 | 2016-09-23 |
1154787190 | Labette County Medical Center | Clinic/Center | 510 Peter Pan Rd Ste B, Independence, KS 67301-7300 | 2016-01-06 |
1326416025 | Morton County Hospital | Clinic/Center | 415 Washington, Rolla, KS 67954 | 2015-09-11 |
1083043012 | Cah Acquisition Company 2 LLC | Clinic/Center | 1708 Corning Ave, Parsons, KS 67357 | 2013-11-12 |
1003152430 | Rural Health Resources of Jackson Co Inc | Clinic/Center | 323 2nd St, Wetmore, KS 66550-9618 | 2012-12-12 |
Find all providers with the same taxonomy |
City | SAINT JOHN |
Zip Code | 67576 |
Please comment or provide details below to improve the information on PRATT REGIONAL MEDICAL CENTER CORPORATION.
Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.