SGOH ACQUISITION INC NPI 1114924768

NPI Information

SGOH ACQUISITION INC is a clinic center in Springfield, MO. The provider is a facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health). SGOH ACQUISITION INC NPI is 1114924768. The provider is registered as an organization entity type.

The provider's business location address is:

1540 E EVERGREEN ST
SPRINGFIELD, MO
ZIP 65803-300
Phone: (417) 823-2900
Fax: (417) 886-2774

The provider's authorized official is Paul Taylor .
The authorized official title is Ceo and has the following contact phone number (417) 837-4000.

The enumeration date for this NPI number is 6/28/2005 and was last updated on 12/9/2020.

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:

Other Identifiers

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

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