ST JOHNS REGIONAL MEDICAL CENTER NPI 1093802811

NPI Information

NPI: 1093802811
Provider Name: ST JOHNS REGIONAL MEDICAL CENTER
Classification: Family Medicine - 207Q00000X
Entity Type: Organization
Address:
2727 MCCLELLAND BLVD
JOPLIN, MO
ZIP 64804
Phone: (417) 781-2727
Get Directions

ST JOHNS REGIONAL MEDICAL CENTER is a family medicine in Joplin, MO. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. ST JOHNS REGIONAL MEDICAL CENTER NPI is 1093802811. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

2727 MCCLELLAND BLVD
JOPLIN, MO
ZIP 64804-695
Phone: (417) 781-2727
Fax: (417) 625-2910

The provider's authorized official is Walter C Dandridge .
The authorized official title is Interim Chief Medical Officer and has the following contact phone number (417) 625-2232.

The enumeration date for this NPI number is 10/5/2006 and was last updated on 6/16/2009.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	Primary
1	207R00000X	Internal Medicine		No
2	207RC0000X	Internal Medicine	Cardiovascular Disease	No
3	207X00000X	Orthopaedic Surgery		No
4	2084P0800X	Psychiatry & Neurology	Psychiatry	No
5	231H00000X	Audiologist		No
6	1223S0112X	Dentist	Oral and Maxillofacial Surgery	No
7	204E00000X	Oral & Maxillofacial Surgery		No
8	2080A0000X	Pediatrics	Adolescent Medicine	No
9	207Q00000X	Family Medicine		Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	100693700B	OTHER		OKLAHOMA MEDICAID
2	007750	OTHER	KANSAS	FAMILY HEALTH PARTNERS
3	=========	OTHER	MISSOURI	TRICARE
4	540564507	MEDICAID	MISSOURI
5	000260001001	OTHER	OKLAHOMA	BLUE CROSS OF OKLAHOMA
6	200900	OTHER	MARYLAND	BLACK LUNG
7	101PD001	OTHER	MISSOURI	MO BLUE CROSS
8	50051	MEDICARE ID-TYPE UNSPECIFIED
9	440548809	OTHER	MISSOURI	RAILROAD MEDICARE
10	100000880C	OTHER		KANSAS MEDICAID

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.

« Previous NPI

Next NPI »