NPIMap

Organization Active NPI

St. John'S Medical Group

  • Rural Health Clinic/Center
  • Girard, KS
National Provider Identifier
1376579565
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rural Health Clinic/CenterTaxonomy code 261QR1300X
Legal business name
ST. JOHN'S MEDICAL GROUP
Practice address
307 N Hospital Dr
Suite 5
Girard, KS 66743-2014
Phone
(620) 724-4659
Fax
(620) 724-6955
NPI assigned
Jun 23, 2006
Organization subpart
No

Practitioners 7

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

National Provider Directory

National Provider Directory

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Paul Ebmeier
Title
Coo
Phone
(417) 627-8969

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Rural Health Clinic/Center 261QR1300X Primary

Addresses

Primary practice location

307 N Hospital Dr
Suite 5
Girard, KS 66743-2014

Mailing address

2631 Cunningham Ave
Suite a
Joplin, MO 64804-1543
Phone (417) 627-8967

NPI Registry JSON

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

{
    "created_epoch": "1151020800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1376579565",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2631 CUNNINGHAM AVE",
            "address_2": "SUITE A",
            "city": "JOPLIN",
            "state": "MO",
            "postal_code": "648041543",
            "telephone_number": "417-627-8967",
            "fax_number": "417-627-8951"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "307 N HOSPITAL DR",
            "address_2": "SUITE 5",
            "city": "GIRARD",
            "state": "KS",
            "postal_code": "667432014",
            "telephone_number": "620-724-4659",
            "fax_number": "620-724-6955"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ST. JOHN'S MEDICAL GROUP",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-23",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "EBMEIER",
        "authorized_official_first_name": "PAUL",
        "authorized_official_title_or_position": "COO",
        "authorized_official_telephone_number": "417-627-8969"
    },
    "taxonomies": [
        {
            "code": "261QR1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rural Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Girard, KS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.