SGOH ACQUISITION INC. NPI 1225338155

NPI Information

NPI: 1225338155
Provider Name: SGOH ACQUISITION, INC.

Doing Business As: OCH WELLPOINTE FAMILY MEDICAL CLINIC

Classification: Clinic/Center - 261QR1300X
Entity Type: Organization

Specialization: Rural Health

Address:
543 W HUBBLE DR
MARSHFIELD, MO
ZIP 65706
Phone: (417) 859-4878
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SGOH ACQUISITION, INC. is a rural health clinic center in Marshfield, MO. SGOH ACQUISITION, INC. NPI is 1225338155. The provider is registered as an organization entity type.
The provider Is Doing Business As Och Wellpointe Family Medical Clinic.

The provider's business location address is:

543 W HUBBLE DR
MARSHFIELD, MO
ZIP 65706-532
Phone: (417) 859-4878

The provider's authorized official is Paul G Taylor .
The authorized official title is Ceo and has the following contact phone number (417) 837-4090.

The CLIA number assigned to this NPI record is 26D1026663 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 10/26/2010 and was last updated on 7/24/2012.

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	License Number	License State	Primary
1	261QR1300X	Clinic/Center	Rural Health			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	268672	MEDICARE PIN	MISSOURI

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: 5/5/2024

NPI Synchronization or Removal

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