St Rose Health Center LLC
NPI #1316344468 in Great Bend, Kansas
Provider Information
- NPI Number
- 1316344468
- Entity Type
- Organization
- Organization Name
- St Rose Health Center LLC
- Primary Specialty
- Clinical Medical Laboratory
- Enumeration Date
- Dec 4, 2014
- Last Updated
- Dec 4, 2014
Practice Location
- Address
- 3515 BROADWAY AVE
- City
- Great Bend
- State
- Kansas
- ZIP Code
- 67530-3633
- Phone
- (620) 792-2511
Authorized Official
- Name
- DR. JOHN H JETER, M.D.
- Title
- PRESIDENT
- Phone
- (785) 623-5523
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinical Medical Laboratory |
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