NPIMap

Organization Active NPI

Sgoh Acquisition, Inc.

Doing business as Och McDonald County Clinic

  • Rural Health Clinic/Center
  • Noel, MO
National Provider Identifier
1386985521
Registry record updated Jul 9, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rural Health Clinic/CenterTaxonomy code 261QR1300X
License
1454-13 Issued in MO
Legal business name
SGOH ACQUISITION, INC.
Doing business as
Och McDonald County Clinic
Practice address
125 Main St
Noel, MO 64854-9124
Phone
(417) 475-6151
Fax
(417) 475-6559
NPI assigned
Mar 13, 2013
Last updated
Jul 9, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 9, 2013

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

Authorized official

Name
Paul G Taylor
Title
Ceo
Phone
(417) 837-4090

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Rural Health Clinic/Center 261QR1300X 1454-13 MO Primary

Addresses

Primary practice location

125 Main St
Noel, MO 64854-9124

Mailing address

125 Main St
Noel, MO 64854-9124
Phone (417) 475-6151

Other names 1

  • OCH MCDONALD COUNTY CLINIC Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20140409000194 MO Part A Provider - Rural Health Clinic 5092616276 Practice locations: Noel, MO

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1386985521. Details of each certification follow.

Rural health clinic certification: CCN 268695

Legal name
SGOH ACQUISITION INC
Doing business as
OCH MCDONALD COUNTY CLINIC
Certification status
Active
Provider type (POS)
Rural health clinic
Participating since
Dec 19, 2013
Last certification
May 12, 2026
Ownership / control type
2B
Organization structure
CorporationNon-profit
Incorporated
Aug 21, 1991 in MO
Enrollment address
125 Main Street
Noel, MO 64854-9124
Related CCNs
041331

Facilities connected through Provider of Services related, parent or unit certification numbers.

Other NPIs with the same Medicare PAC ID 15

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

View all 15

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
26D2058814Och McDonald County Clinic125 Main Street, Noel, MO 64854Certificate of waiverMay 12, 2027

National Provider Directory

National Provider Directory

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

Ownership & related parties

All disclosed owners & managing parties 2

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Paul G Taylor Individual Corporate OfficerCeo Jan 1, 2012 100%
W-2 Managing EmployeeCeo Jan 1, 2012 100%
Sgoh Acquisition Inc Organization, Gravette, AR Corporation 5% Or Greater Direct Ownership Interest Dec 19, 2013 100%

Owners & managing parties with NPI records 15

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

View all 15

All facility ownership & control disclosures 14

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Ozarks Community Hospital of GravetteGravette, AR, CCN 041331 Hospital 5% Or Greater Direct Ownership Interest (100%)
Operational/Managerial Control		 May 16, 2008
Dec 31, 2021
Ozarks Community Hospital of GravetteGravette, AR, CCN 04Z331 Hospital Operational/Managerial Control (100%) Dec 31, 2021
Och Sparta ClinicSparta, MO, CCN 268726 Rural health clinic 5% Or Greater Direct Ownership Interest (100%) Nov 1, 2014
Och Lawrence County ClinicMt. Vernon, MO, CCN 268597 Rural health clinic 5% Or Greater Direct Ownership Interest (100%) Jan 1, 2015
Och Wellpointe Family Medical ClinicMarshfield, MO, CCN 268672 Rural health clinic 5% Or Greater Direct Ownership Interest (100%) Jan 1, 2015
Och Jasper County Clinic Carthage CampusCarthage, MO, CCN 268728 Rural health clinic 5% Or Greater Direct Ownership Interest Jan 1, 2015
Och Pineville Medical ClinicPineville, MO, CCN 268748 Rural health clinic 5% Or Greater Direct Ownership Interest (100%) Jan 1, 2017
Och Southwest City Community ClinicSouth West City, MO, CCN 268746 Rural health clinic 5% Or Greater Direct Ownership Interest (100%) Jan 1, 2017
Och Goodman Family ClinicGoodman, MO, CCN 268745 Rural health clinic 5% Or Greater Direct Ownership Interest (100%) Jan 1, 2017
Och Anderson Rural Health ClinicAnderson, MO, CCN 268747 Rural health clinic 5% Or Greater Direct Ownership Interest (100%) Jan 1, 2017
Och Newton County ClinicNeosho, MO, CCN 268778 Rural health clinic 5% Or Greater Direct Ownership Interest (100%)
Operational/Managerial Control (100%)		 Jan 1, 2020
Jan 1, 2020
Sgoh Acquisition IncRogers, AR, CCN 048529 Rural health clinic 5% Or Greater Direct Ownership Interest
Operational/Managerial Control (100%)		 Aug 1, 2020
Aug 1, 2020
Och Webster County ClinicRogerville, MO, CCN 268609 Rural health clinic 5% Or Greater Direct Ownership Interest (100%) Jan 1, 2015
Sgoh Acquisition IncDecatur, AR, CCN 048548 Rural health clinic 5% Or Greater Direct Ownership Interest (100%)
Operational/Managerial Control (100%)		 Aug 5, 2024
Aug 5, 2024

Owned or controlled facilities with NPI records 14

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

View all 14

Facilities with the same owner 14

Facilities that share an organizational owner with 5% or greater ownership or operational control.

View all 14

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1363132800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1373328000000",
    "number": "1386985521",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "125 MAIN ST",
            "city": "NOEL",
            "state": "MO",
            "postal_code": "648549124",
            "telephone_number": "417-475-6151",
            "fax_number": "417-475-6559"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "125 MAIN ST",
            "city": "NOEL",
            "state": "MO",
            "postal_code": "648549124",
            "telephone_number": "417-475-6151",
            "fax_number": "417-475-6559"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SGOH ACQUISITION, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-03-13",
        "last_updated": "2013-07-09",
        "status": "A",
        "authorized_official_last_name": "TAYLOR",
        "authorized_official_first_name": "PAUL",
        "authorized_official_middle_name": "G",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "417-837-4090"
    },
    "taxonomies": [
        {
            "code": "261QR1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rural Health",
            "state": "MO",
            "license": "1454-13",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "OCH MCDONALD COUNTY CLINIC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Noel, MO

Sources for this page

Verify at the official NPI Registry.