Sjc-Cassville
LBN: St Johns Clinic Inc
Sjc-Cassville is an health care organization with primary practice located at 90 Gravel St , Cassville MO 65625-1601. The organization recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Ambulatory Health Care Facilities / Rural Health, Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant. Ambulatory Health Care Facilities / Rural Health is the primary health care specialty.
St Johns Clinic Inc can be contacted via phone (417) 847-6045, or through Sorensen, Donn E. via phone (417) 829-4264.
Contact Information
Primary practice address
90 Gravel St
Cassville MO 65625-1601
Phone: (417) 847-6045
Fax: (417) 847-6049
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | R4E21 | Missouri |
| Ambulatory Health Care Facilities / Rural Health | 261QR1300X | Missouri | |
| Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant | 363A00000X | 104182 | Missouri |
Profile Details
| NPI number | 1740316728 |
|---|---|
| LBN Legal business name | St Johns Clinic Inc |
| DBA Doing business as | Sjc-Cassville |
| Authorized official | Sorensen, Donn E. |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Feb 26th, 2007 |
| Last updated | Jun 30th, 2008 - about 17 years 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1740316728 | NPPES |
| Missouri | MEDICAID | 598833101 |
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