ST. JOHN'S INC. (NPI# 1841233913) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1841233913 |
| Entity Type | Organization |
| Organization Name | ST. JOHN'S INC. |
| Other Organization Name | ST. JOHN'S CLINIC |
| Practice Address |
208 Marc Wagner Rd Victoria KS 67671 |
| Mailing Address |
104 E. 3rd St P.o. Box 186 Alden KS 67512-0186 |
| Practice Telephone | 7857352208 |
| Practice Fax Number | 7857352270 |
| Mailing Telephone | 6205343085 |
| Mailing Fax Number | 6205343086 |
| Enumeration Date | 2006-06-14 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | MR. BOB BETHE;; (CHIEF EXECUTIVE OFFICER) |
| Authorized Official Telephone | 6205343085 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
Physician Assistants & Advanced Practice Nursing Providers |
| Other Name | Type Code |
|---|---|
| St. John's Clinic | Doing Business As Name - Organization |
| Street Address |
208 MARC WAGNER RD |
| City | VICTORIA |
| State | KS |
| Zip Code | 67671 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306271275 | Delores Ann Schmeidler | Nurse Practitioner | 208 Mare Wagner Road, Victoria, KS 67671 | 2013-09-10 |
| 1073765277 | Maren K Moody | Nurse Practitioner | 208 Marc Wagner Drive, Victoria, KS 67671 | 2008-10-21 |
| 1609184100 | Krista D. Braun | Physical Therapy Assistant | 701 7th St, Victoria, KS 67671 | 2010-09-17 |
| 1619123486 | Hickory Heights | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 1202 Hickory St, Victoria, KS 67671-9310 | 2008-08-13 |
| 1891028353 | Usd 432 Victoria | Local Education Agency (LEA) | 804 Cathedral, Victoria, KS 67671-9413 | 2009-09-15 |
| 1770636656 | St. Johns, Inc. | Nursing Facility/Intermediate Care Facility | 701 7th St, Victoria, KS 67671-9527 | 2007-01-22 |
| 1922207232 | Roselin Pfeifer | Occupational Therapy Assistant | 701 7th St, Victoria, KS 67671-9527 | 2007-07-16 |
| 1609349844 | Golden Rule Health | Clinic/Center | 416 Main St, Victoria, KS 67671-9562 | 2019-01-10 |
| 1548636665 | First Care Clinic, Inc. | Clinic/Center | 208 Marc Wagner Dr, Victoria, KS 67671-9589 | 2015-08-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184230278 | Stephanie Roddy | Registered Nurse | 74 Wally Ln, Victoria, TX 77905-3723 | 2020-09-23 |
| 1356957591 | Bradley Bomba | Registered Nurse | 302 Yosemite Dr, Victoria, TX 77904-3662 | 2020-09-22 |
| 1801401856 | Denise Mary Tomanek | Family Medicine | 218 Cobble Stone Ct, Victoria, TX 77904-2975 | 2020-09-15 |
| 1538773163 | Regional Pathology Associates, Pllc | Clinical Medical Laboratory | 2709 N Ben Wilson St, Victoria, TX 77901-5728 | 2020-09-01 |
| 1457962540 | Uc Management Group LLC | Nurse Practitioner | 1908 N Laurent St Ste 410, Victoria, TX 77901 | 2020-08-12 |
| 1114536166 | Jennifer Foxell Bluntzer | Nurse Practitioner | 117 Andrew Dr, Victoria, TX 77904-2935 | 2020-07-27 |
| 1952927964 | His House Foundation | Case Management | 1866 Woodstone Dr, Victoria, MN 55386-9634 | 2020-06-25 |
| 1205452885 | Amy Nicole Varela | Doula | 2701 Leary Ln Trlr 82, Victoria, TX 77901-2933 | 2020-06-19 |
| 1952925174 | Emily Ann Carroll | Registered Nurse | 2402 E Mimosa Ave, Victoria, TX 77901-3519 | 2020-06-03 |
| 1306478177 | Elizabeth Thompson | Licensed Vocational Nurse | 456 Price Rd, Victoria, TX 77905-2522 | 2020-02-10 |
| Find all providers in VICTORIA | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366098915 | Zachary Barber | Nurse Practitioner | 605 E San Antonio St # 509, Victoria, TX 77901-6050 | 2019-08-09 |
| 1396304390 | Olanrewaju Omobola Olurode | Nurse Practitioner | 104 Buckskin Trl, Victoria, TX 77904-2962 | 2019-06-12 |
| 1780169946 | Kelli Longoria | Nurse Practitioner | 2700 Citizens Plz Ste 400, Victoria, TX 77901-5757 | 2018-10-03 |
| 1497238869 | Crystal Joan Douglas | Nurse Practitioner | 9006 N Navarro St, Victoria, TX 77904-1565 | 2018-09-12 |
| 1790270106 | Jeremiah E Bast | Nurse Practitioner | 605 E San Antonio St Ste 509e, Victoria, TX 77901-6079 | 2018-06-27 |
| 1811488349 | Victoria Np Clinic Pllc | Nurse Practitioner | 606 E. Nueces St, Victoria, TX 77901 | 2018-05-21 |
| 1578913323 | Acadia Matilda Joines | Nurse Practitioner | 104 Watermark, Victoria, TX 77904-1168 | 2016-06-13 |
| 1518337690 | Nikki Reger | Nurse Practitioner | 102 Andrew Dr, Victoria, TX 77904-2938 | 2015-10-01 |
| 1336524974 | Adan Hinojosa Adame | Nurse Practitioner | 102 Contento St, Victoria, TX 77905-0688 | 2015-07-24 |
| 1235522509 | Kristi Williams | Nurse Practitioner | 728 Menke Rd, Victoria, TX 77905-5757 | 2015-03-11 |
| Find all providers in VICTORIA | ||||
Please comment or provide details below to improve the information on ST. JOHN'S INC..
| 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.