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JESUIT LANE FAMILY PRACTICE
NPI 1205802279
Family Medicine in St Marys, KS

Active since February 28, 2006
907A E JESUIT LN, ST MARYS, KS 66536(785) 437-3711(785) 437-6711 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Jesuit Lane Family Practice NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JESUIT LANE FAMILY PRACTICE (NPI 1205802279) is a healthcare organization registered as a family medicine in St Marys, Kansas and active in the NPI registry since February 2006. The organization lists Carl Bruce Carroll, Physician, as its authorized official.

NPPES Registry Identity

NPI1205802279
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameCRISTO REY HEALTHCARE, LLC
Location Address907A E JESUIT LNSt Marys, KS 66536-9605
Mailing Address907a E Jesuit LnSt Marys, KS 66536-9605 · (785) 437-3711 · Fax (785) 437-6711
Phone(785) 437-3711
Fax(785) 437-6711
Organization SubpartNo
Authorized OfficialCarl Bruce CarrollPhysician · (785) 437-3711
Enumeration DateFebruary 28, 2006
Last NPPES UpdateAugust 22, 2020
✔ NPI 1205802279 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in KS · 04-23089
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
907A E JESUIT LN, St Marys, KS 66536
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Other Names 1

Doing Business AsJesuit Lane Family Practice

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Cristo Rey Healthcare, LLC's NPI number?

The NPI number for Cristo Rey Healthcare, LLC is 1205802279. It was assigned to this organization in the NPPES registry on February 28, 2006. The provider is doing business as Jesuit Lane Family Practice.

Where is Cristo Rey Healthcare, LLC located?

Cristo Rey Healthcare, LLC is located at 907A E Jesuit Ln, St Marys, KS 66536. The listed phone number is (785) 437-3711.

What is Cristo Rey Healthcare, LLC's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

When was this NPI record last updated?

The NPPES record for Cristo Rey Healthcare, LLC was last updated on August 22, 2020. NPI Profile syncs with the weekly NPPES data releases published by CMS.