NPIMap

Organization Active NPI

St. John'S Regional Medical Center

  • Community Based Hospice Care Agency
  • Joplin, MO
National Provider Identifier
1619083433
Registry record updated Mar 11, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Based Hospice Care AgencyTaxonomy code 251G00000X
License
049-10HO Issued in MO
Legal business name
ST. JOHN'S REGIONAL MEDICAL CENTER
Practice address
4500 E 32ND St
Joplin, MO 64804-4404
Phone
(417) 623-8164
Fax
(417) 623-1420
NPI assigned
Aug 22, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 11, 2009

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

Authorized official

Name
Mr. George Caralis
Title
Ceo
Phone
(417) 781-2727

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community Based Hospice Care Agency 251G00000X 049-10HO MO Primary

Addresses

Primary practice location

4500 E 32ND St
Joplin, MO 64804-4404

Mailing address

4500 E 32ND St
Joplin, MO 64804-4404
Phone (417) 623-8164

Other identifiers 2

IdentifierTypeStateIssuer
820564508MedicaidMO
100000880MMedicaidKS

Other names 1

  • St. John's Regional Medical Center Hospice Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Mercy Hospital Joplin7 organizations share this tax ID, including this one

Other organizations with this tax ID 6

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": "1156204800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1236729600000",
    "number": "1619083433",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4500 E 32ND ST",
            "city": "JOPLIN",
            "state": "MO",
            "postal_code": "648044404",
            "telephone_number": "417-623-8164",
            "fax_number": "417-623-1420"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4500 E 32ND ST",
            "city": "JOPLIN",
            "state": "MO",
            "postal_code": "648044404",
            "telephone_number": "417-623-8164",
            "fax_number": "417-623-1420"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ST. JOHN'S REGIONAL MEDICAL CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-22",
        "last_updated": "2009-03-11",
        "status": "A",
        "authorized_official_last_name": "CARALIS",
        "authorized_official_first_name": "GEORGE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "417-781-2727",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": "MO",
            "license": "049-10HO",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "820564508",
            "state": "MO"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100000880M",
            "state": "KS"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "St. John's Regional Medical Center Hospice",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Mar 11, 2009; 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.