Organization Active NPI

St John's Regional Medical Center

  • General Acute Care Hospital
  • Joplin, MO
National Provider Identifier
1174812523
Registry record updated Apr 6, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Acute Care HospitalTaxonomy code 282N00000X
License
123823 Issued in MO
Legal business name
ST JOHN'S REGIONAL MEDICAL CENTER
Practice address
2727 McClelland Blvd
Wound Care
Joplin, MO 64804-1626
Phone
(417) 781-2727
Fax
(417) 659-6678
NPI assigned
Apr 6, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 6, 2011

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mrs. Barbara West, RN,WCC
Title
Wound Care Nurse
Phone
(417) 781-2727

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Acute Care Hospital 282N00000X 123823 MO Primary

Addresses

Primary practice location

2727 McClelland Blvd
Wound Care
Joplin, MO 64804-1626

Mailing address

2727 McClelland Blvd
Joplin, MO 64804-1626
Phone (417) 781-2727

Other identifiers 1

IdentifierTypeStateIssuer
123823OtherMORN

National Provider Directory

National Provider Directory
Tax ID family
Mercy St John's2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1302048000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1302048000000",
    "number": "1174812523",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2727 MCCLELLAND BLVD",
            "city": "JOPLIN",
            "state": "MO",
            "postal_code": "648041626",
            "telephone_number": "417-781-2727",
            "fax_number": "417-659-6678"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2727 MCCLELLAND BLVD",
            "address_2": "WOUND CARE",
            "city": "JOPLIN",
            "state": "MO",
            "postal_code": "648041626",
            "telephone_number": "417-781-2727",
            "fax_number": "417-659-6678"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ST JOHN'S REGIONAL MEDICAL CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-04-06",
        "last_updated": "2011-04-06",
        "status": "A",
        "authorized_official_last_name": "WEST",
        "authorized_official_first_name": "BARBARA",
        "authorized_official_title_or_position": "WOUND CARE NURSE",
        "authorized_official_telephone_number": "417-781-2727",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "RN,WCC"
    },
    "taxonomies": [
        {
            "code": "282N00000X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital",
            "state": "MO",
            "license": "123823",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RN",
            "identifier": "123823",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Joplin, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 6, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.