St. John'S Regional Medical Center
Clinic/Center, Rural Health in Neosho, MO. Organization (NPI-2).
NPI number1366478554
StatusActive
Last updated in NPPESSep 2, 2009
Details
- NPI
- 1366478554
- Entity type
- Organization (NPI-2)
- Legal business name
- St. John'S Regional Medical Center
- Organization subpart
- No
- Enumeration date
- Jun 23, 2006
- Last updated
- Sep 2, 2009
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 261QR1300X | Clinic/Center, Rural Health | – | – | Yes |
Practice location
2550 Lusk DrNeosho, MO 64850-8855
Phone 417-451-2060 · Fax 417-451-6214
Mailing address
1701 W 26th StSuite B
Joplin, MO 64804-1513
Phone 417-627-8967 · Fax 417-627-8920
Authorized official
Robin Sumner
Revenue Cycle Director
4176278930
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