St Johns Clinic Inc
Organization Active NPI Durable Medical Equipment & Medical Supplies · Cuba, MO
NPI 1033316591 · NPPES record last updated Jun 30, 2008
Key facts
- NPI
- 1033316591
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Durable Medical Equipment & Medical Supplies 332B00000X
- Legal business name
- ST JOHNS CLINIC INC
- Practice address
- 114 Downey PL
Cuba, MO 65453-1640 - Phone
- (573) 885-3358
- Fax
- (573) 885-3361
- NPI assigned
- Jun 28, 2007
- Organization subpart
- No
Authorized official
- Name
- Donn E. Sorensen
- Title
- Senior Vice President
- Phone
- (417) 829-4264
Corporate family (same tax ID) 17
Practitioners 2
-
Michael Marvin, M.D.
-
Milo Nelson Warner, D.O.
National Provider Directory
- Tax ID family
- Springfield Clinic Nucl
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Durable Medical Equipment & Medical Supplies | 332B00000X | MO | Yes |
Addresses
Primary practice location
114 Downey PL
Cuba, MO 65453-1640
Mailing address
PO Box 2580
Springfield, MO 65801-2580
Phone (417) 829-4620
Other names
- SJC-Cuba
Other providers in Cuba, MO
- Terry L. Sellers
- Aleksander Douglas Shelton
- Christian Shelton
- SJ Black Investments LLC
- South Central Missouri Community Health Center
- Stubblefield Enterprises Inc.
- Stubblefield Manor CNSL Operation LLC
- Amirah Binti Tan Abdullah
- Shelly B Tash
- Mary Frances Tatkenhorst
All providers in Cuba, MO · Durable Medical Equipment & Medical Supplies in Missouri
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 30, 2008. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.