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General NPI Number Information
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NPI Number | 1295735397
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Entity Type | Organization
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Legal Business Name | SAINT JOHN HOSPITAL, INC
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Dates
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Enumeration Date | 07/29/2005
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 3500 S 4TH ST
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City | LEAVENWORTH
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State | KS
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Zip | 66048-5043
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Country | US
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Telephone | 913-680-6000
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Fax |
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Provider Business Mailing Address
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Address Line | 3500 S 4TH ST
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City | LEAVENWORTH
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State | KS
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Zip | 66048-5043
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | CHIEF EXECUTIVE OFFICER
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Name | MR. JAMES PAQUETTE
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Credential |
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Telephone | 913-596-4882
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 282N00000X
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Taxonomy Name | General Acute Care Hospital
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License Number | H052002
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License Number State | KS
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