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St Johns Clinic Inc

Organization Active NPI Durable Medical Equipment & Medical Supplies · Springfield, MO

NPI 1174646889 · NPPES record last updated Jun 30, 2008

Key facts

NPI
1174646889
Entity type
Organization (NPI type 2)
Primary specialty
Durable Medical Equipment & Medical Supplies 332B00000X
Legal business name
ST JOHNS CLINIC INC
Practice address
2730 E Sunshine St
Springfield, MO 65804-2047
Phone
(417) 883-0600
Fax
(417) 883-9443
NPI assigned
Apr 9, 2007
Organization subpart
No

Authorized official

Name
Donn E. Sorensen
Title
Senior Vice President
Phone
(417) 829-4264

Corporate family (same tax ID) 23

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

National Provider Directory

Tax ID family
Springfield Clinic Nucl (55 organizations share this tax ID)

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X MO Yes

Addresses

Primary practice location

2730 E Sunshine St
Springfield, MO 65804-2047

Mailing address

PO Box 2580
Springfield, MO 65801-2580
Phone (417) 829-4620

Other names

  • SJC-Family Medicine-East Sunshine Doing business as

Other providers in Springfield, MO

All providers in Springfield, MO · Durable Medical Equipment & Medical Supplies in Missouri

Sources for this page

Verify at the official NPI Registry.