St Johns Regional Medical Center

Primary specialty

Rehabilitation Hospital UnitTaxonomy code 273Y00000X

License

11840 Issued in MO

Legal business name

ST JOHNS REGIONAL MEDICAL CENTER

Practice address

2931 McClelland Blvd
Joplin, MO 64804-1633

Phone

(417) 781-2727

Fax

(417) 625-2910

NPI assigned

Oct 5, 2006

Organization subpart

Yes

Parent organization

CATHOLIC HEALTH INITIATIVESAs reported in NPPES

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

Authorized official

Name

Mr. Gary Pulsipher

Title

Ceo President

Phone

(417) 781-2727

Specialties & licenses 1

Addresses

Other identifiers 3

Tax ID family

St John Med Center Lam2 organizations share this tax ID, including this one

Part of

Catholic Health Initiatives

Other organizations with this tax ID 1

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

• St John'S Regional Medical Center

  • Anesthesiology Physician
  • Joplin, MO
  • NPI 1700032653
  NPD tax ID

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

{
    "created_epoch": "1160006400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1259107200000",
    "number": "1811084635",
    "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": "648041695",
            "telephone_number": "417-781-2727",
            "fax_number": "417-625-2910"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2931 MCCLELLAND BLVD",
            "city": "JOPLIN",
            "state": "MO",
            "postal_code": "648041633",
            "telephone_number": "417-781-2727",
            "fax_number": "417-625-2910"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ST JOHNS REGIONAL MEDICAL CENTER",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "CATHOLIC HEALTH INITIATIVES",
        "enumeration_date": "2006-10-05",
        "last_updated": "2009-11-25",
        "status": "A",
        "authorized_official_last_name": "PULSIPHER",
        "authorized_official_first_name": "GARY",
        "authorized_official_title_or_position": "CEO PRESIDENT",
        "authorized_official_telephone_number": "417-781-2727",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "273Y00000X",
            "taxonomy_group": "",
            "desc": "Rehabilitation Unit",
            "state": "MO",
            "license": "11840",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "010564508",
            "state": "MO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAID",
            "identifier": "100000880A",
            "state": "KS"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAID",
            "identifier": "100693700A",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• St John'S Regional Medical Center
• St Johns Express Care
• St Johns Regional Medical Center
• St Johns Regional Medical Center
• St Johns Regional Medical Center
• St Johns Regional Medical Center
• St Johns Regional Medical Center
• St Jude Home Care of the Four States, LLC
• St. John'S Regional Medical Center
• St. John'S Regional Medical Center

• Rehabilitation Hospital Unit in Joplin, MO
• Providers in Joplin, MO by specialty
• Rehabilitation Hospital Unit in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 25, 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.