NPIMap

Organization Active NPI

Sgoh Acquisition, Inc.

  • Rural Health Clinic/Center
  • Neosho, MO
National Provider Identifier
1982254371
Registry record updated Mar 21, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rural Health Clinic/CenterTaxonomy code 261QR1300X
Legal business name
SGOH ACQUISITION, INC.
Practice address
1355 Rocketdyne Rd
Neosho, MO 64850-3106
Phone
(417) 451-7425
Fax
(417) 451-7455
NPI assigned
Sep 17, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 21, 2024

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) 837-4004

Specialties & licenses 1

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

Addresses

Primary practice location

1355 Rocketdyne Rd
Neosho, MO 64850-3106

Mailing address

117 E Hickory St
Neosho, MO 64850-1806
Phone (417) 451-4545

Other practice location 1

117 E Hickory St
Neosho, MO 64850
Phone (417) 451-4545

Other names 1

  • OCH NEWTON COUNTY CLINIC Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20191010002373 MO Part A Provider - Rural Health Clinic 5092616276 Practice locations: Neosho, MO
O20230627003164 MO Part A Provider - Rural Health Clinic 5092616276 1 other NPI on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Rogerville, MO

Rural health clinic certification: CCN 268778

Legal name
SGOH ACQUISITION INC
Doing business as
OCH NEWTON COUNTY CLINIC
Certification status
Active
Provider type (POS)
Rural health clinic
Participating since
Jan 20, 2020
Last certification
Jan 20, 2026
Ownership / control type
2B
Organization structure
CorporationNon-profit
Incorporated
Aug 21, 1991 in MO
Enrollment address
117 E Hickory St
Neosho, MO 64850-1806
Related CCNs
041331

Rural health clinic certification: CCN 268609

Legal name
SGOH ACQUISITION INC
Doing business as
OCH WEBSTER COUNTY CLINIC
Certification status
Active
Provider type (POS)
Rural health clinic
Participating since
Dec 27, 2006
Last certification
May 11, 2023
Ownership / control type
2B
Organization structure
CorporationNon-profit
Enrollment address
101 S Main Street
Rogerville, MO 65742-9357
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

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

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
26D2051639Och Newton County Clinic Neosho117 East Hickory, Neosho, MO 64850Certificate of waiverDec 20, 2026
26D2146410Och Newton County Clinic Neosho1355 Rocketdyne Rd, Neosho, MO 64850Certificate of waiverMar 27, 2028

National Provider Directory

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 DirectorCeo Jan 1, 2020 100%
W-2 Managing EmployeeCeo Jan 1, 2020 100%
Operational/Managerial ControlCeo Jan 1, 2020 100%
Corporate OfficerCeo Feb 2, 2010 100%
Corporate Director Feb 2, 2010 100%
W-2 Managing EmployeeCeo Jan 1, 2015 100%
Sgoh Acquisition Inc Organization, Gravette, AR Corporation, Non-profit, Owned by another organization or individual 5% Or Greater Direct Ownership Interest Jan 1, 2020 100%
Operational/Managerial Control Jan 1, 2020 100%
5% Or Greater Direct Ownership Interest Jan 1, 2015 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 McDonald County ClinicNoel, MO, CCN 268695 Rural health clinic 5% Or Greater Direct Ownership Interest (100%) Dec 19, 2013
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
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

NPI Registry JSON

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

{
    "created_epoch": "1568678400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1710979200000",
    "number": "1982254371",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "117 E HICKORY ST",
            "city": "NEOSHO",
            "state": "MO",
            "postal_code": "648501806",
            "telephone_number": "417-451-4545",
            "fax_number": "417-451-2341"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1355 ROCKETDYNE RD",
            "city": "NEOSHO",
            "state": "MO",
            "postal_code": "648503106",
            "telephone_number": "417-451-7425",
            "fax_number": "417-451-7455"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "117 E Hickory St",
            "address_purpose": "LOCATION",
            "city": "Neosho",
            "state": "MO",
            "postal_code": "64850",
            "country_code": "US",
            "telephone_number": "417-451-4545",
            "fax_number": "417-389-2341",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "SGOH ACQUISITION, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-09-17",
        "last_updated": "2024-03-21",
        "certification_date": "2024-03-21",
        "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": "417-837-4004"
    },
    "taxonomies": [
        {
            "code": "261QR1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rural Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "OCH NEWTON COUNTY CLINIC",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "OCH NEWTON COUNTY CLINIC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Neosho, MO

Sources for this page

Verify at the official NPI Registry.