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ST. JOHN'S HEALTH SYSTEM NPI 1144474396


NPI Information

NPI: 1144474396
Provider Name: ST. JOHN'S HEALTH SYSTEM

Doing Business As: ST. JOHN'S - INTEGRATIVE MEDICINE

Classification: Clinic/Center - 261QM2500X
Entity Type: Organization

Specialization: Medical Specialty

Address:
1630 E BRADFORD PKWY
SUITE B
SPRINGFIELD, MO
ZIP 65804
Phone: (417) 820-3400
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ST. JOHN'S HEALTH SYSTEM is a medical specialty clinic center in Springfield, MO. The provider is an entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to a specific area of medical specialization. Frequently used for Title V related Children's Specialty services or to meet specific public health needs (e.g., infectious diseases or breast and cervical cancer). ST. JOHN'S HEALTH SYSTEM NPI is 1144474396. The provider is registered as an organization entity type.
The provider Is Doing Business As St. John's - Integrative Medicine.

The provider's business location address is:

1630 E BRADFORD PKWY
SUITE B
SPRINGFIELD, MO
ZIP 65804-513
Phone: (417) 820-3400

The provider's authorized official is Bradley Kim Day .
The authorized official title is Chief Executive Officer and has the following contact phone number (417) 820-2845.

The enumeration date for this NPI number is 11/13/2008 and was last updated on 11/13/2008.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1261QM2500XClinic/CenterMedical SpecialtyYes

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

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