PRATT REGIONAL MEDICAL CENTER CORPORATION


Address: 609 E 1st Ave, Saint John, KS 67576-2223
Phone: 6205493251

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).

Provider Overview

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

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 261QR1300X Clinic/Center
Specialization: Rural Health
Ambulatory Health Care Facilities

Other Provider Identifier

State Issuer Identifier Type Code
KS 100071250D 05

Other Provider/Organization Names

Other Name Type Code
St John Clinic Doing Business As Name - Organization

Other Provider IDs and Locations

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

Office Location

Street Address 609 E 1ST AVE
City SAINT JOHN
State KS
Zip Code 67576-2223

Providers in the same zip code

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
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Taxonomy Information

Taxonomy Code 261QR1300X
Grouping Ambulatory Health Care Facilities
Classification Clinic/Center
Specialization Rural Health

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and state

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
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Competitor

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City SAINT JOHN
Zip Code 67576

Improve Information

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Dataset Information

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.

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