Sgoh Acquisition Inc

LBN: Sgoh Acquisition Inc
Sgoh Acquisition Inc is an health care organization with primary practice located at 1540 E Evergreen St , Springfield MO 65803-4300. The organization recently has 3 registered licenses in different health care specialties including Ambulatory Health Care Facilities / Clinic/Center, Hospitals / Psychiatric Hospital, Suppliers / Durable Medical Equipment & Medical Supplies. Ambulatory Health Care Facilities / Clinic/Center is the primary health care specialty. Sgoh Acquisition Inc can be contacted via phone (417) 823-2900, or through Taylor, Paul via phone (417) 837-2000.

Contact Information

Primary practice address
1540 E Evergreen St Springfield MO 65803-4300
Phone: (417) 823-2900
Fax: (417) 886-2774
Website:
Map and Directions
Authorized official contact:
Name: Taylor, Paul
Phone: (417) 837-2000

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Clinic/Center 261Q00000X 4546 Missouri
Hospitals / Psychiatric Hospital 283Q00000X
Suppliers / Durable Medical Equipment & Medical Supplies 332B00000X 454-8 Missouri

Profile Details

NPI number 1114924768
LBN Legal business name Sgoh Acquisition Inc
DBA Doing business as
Authorized official Taylor, Paul
Entity Organization
Organization subpart 1 No
Enumeration date Jun 28th, 2005
Last updated Jul 16th, 2024 - about 2 months ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1114924768 NPPES
Missouri MEDICAID 540564408
Missouri Other CR0762
Missouri MEDICAID 121295105
Missouri MEDICAID 010564409

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