ST JOHNS REGIONAL MEDICAL CENTER NPI 1770503187

NPI Information

NPI: 1770503187
Provider Name: ST JOHNS REGIONAL MEDICAL CENTER

Doing Business As: ST JOHNS REGIONAL MEDICAL CENTER DEPT OF RADIOLOGY

Classification: Clinic/Center - 261QR0200X
Entity Type: Organization

Specialization: Radiology

Address:
2727 MCCLELLAND BLVD
DEPARTMENT OF RADIOLOGY
JOPLIN, MO
ZIP 64804
Phone: (417) 781-2727
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ST JOHNS REGIONAL MEDICAL CENTER is a radiology clinic center in Joplin, MO. ST JOHNS REGIONAL MEDICAL CENTER NPI is 1770503187. The provider is registered as an organization entity type.
The provider Is Doing Business As St Johns Regional Medical Center Dept Of Radiology.

The provider's business location address is:

2727 MCCLELLAND BLVD
DEPARTMENT OF RADIOLOGY
JOPLIN, MO
ZIP 64804
Phone: (417) 781-2727

The provider's authorized official is Christopher S Meoli .
The authorized official title is Physician Executive and has the following contact phone number (417) 659-6626.

The enumeration date for this NPI number is 7/20/2006 and was last updated on 6/3/2008.

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 Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	261QR0200X	Clinic/Center	Radiology			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	13823	MEDICARE PIN	MISSOURI
2	DD0521	MEDICARE PIN	MISSOURI
3	=========IMA	OTHER		MERCY
4	100000880N	MEDICAID	KANSAS
5	137137	OTHER		GHP
6	469128	MEDICAID	KANSAS
7	540564507	MEDICAID	MISSOURI
8	174847	OTHER		MO BLUE
9	100693700E	MEDICAID	OKLAHOMA

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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