ST. JOHN'S REGIONAL MEDICAL CENTER NPI 1619083433

NPI Information

NPI: 1619083433
Provider Name: ST. JOHN'S REGIONAL MEDICAL CENTER

Doing Business As: ST. JOHN'S REGIONAL MEDICAL CENTER HOSPICE

Classification: Hospice Care, Community Based - 251G00000X
Entity Type: Organization
Address:
4500 E 32ND ST
JOPLIN, MO
ZIP 64804
Phone: (417) 623-8164
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ST. JOHN'S REGIONAL MEDICAL CENTER is a hospice care community based in Joplin, MO. ST. JOHN'S REGIONAL MEDICAL CENTER NPI is 1619083433. The provider is registered as an organization entity type.
The provider Is Doing Business As St. John's Regional Medical Center Hospice.

The provider's business location address is:

4500 E 32ND ST
JOPLIN, MO
ZIP 64804-404
Phone: (417) 623-8164
Fax: (417) 623-1420

The provider's authorized official is George Caralis .
The authorized official title is Ceo and has the following contact phone number (417) 781-2727.

The enumeration date for this NPI number is 8/22/2006 and was last updated on 3/11/2009.

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	License Number	License State	Primary
1	251G00000X	Hospice Care, Community Based		049-10HO	MISSOURI	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
1	100000880M	MEDICAID	KANSAS
2	820564508	MEDICAID	MISSOURI
3	261512	MEDICARE OSCAR/CERTIFICATION	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: 4/28/2024

NPI Synchronization or Removal

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