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ST JOHNS CLINIC INC NPI 1710187588


NPI Information

NPI: 1710187588
Provider Name: ST JOHNS CLINIC INC

Doing Business As: SJC WOMEN'S HEALTH HUNTSVILLE

Classification: Obstetrics & Gynecology - 207V00000X
Entity Type: Organization
Address:
705 PHILLIPS
HUNTSVILLE, AR
ZIP 72740
Phone: (479) 738-1700
Get Directions

ST JOHNS CLINIC INC is an obstetrics gynecology in Huntsville, AR. The provider is an obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women. ST JOHNS CLINIC INC NPI is 1710187588. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Sjc Women's Health Huntsville.

The provider's business location address is:

705 PHILLIPS
HUNTSVILLE, AR
ZIP 72740
Phone: (479) 738-1700

The provider's authorized official is Donn E. Sorensen .
The authorized official title is Senior Vice President and has the following contact phone number (417) 829-4264.

The enumeration date for this NPI number is 7/20/2007 and was last updated on 6/30/2008.


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
1207V00000XObstetrics & GynecologyE4990ARKANSASYes

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 IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
15F873OTHERARKANSASAR BLUE SHIELD
25F873MEDICARE PINARKANSAS
3166387002MEDICAIDARKANSAS

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: 11/14/2023

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