ST JOHNS CLINIC INC (NPI# 1023214145) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1023214145 |
| Entity Type | Organization |
| Organization Name | ST JOHNS CLINIC INC |
| Other Organization Name | SJC-OZARK |
| Practice Address |
1106 W Jackson St Ozark MO 65721-9164 |
| Mailing Address |
Po Box 2580 Springfield MO 65801-2580 |
| Practice Telephone | 4175813548 |
| Practice Fax Number | 4175816164 |
| Mailing Telephone | 4178294620 |
| Mailing Fax Number | 4178294316 |
| Enumeration Date | 2007-06-25 |
| Last Update Date | 2008-06-30 |
| Authorized Official Name | DONN E. SORENSEN (SENIOR VICE PRESIDENT) |
| Authorized Official Telephone | 4178294264 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 332B00000X | Durable Medical Equipment & Medical Supplies | MO | Suppliers |
| Other Name | Type Code |
|---|---|
| SJC-Ozark | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710187588 | St Johns Clinic Inc | Obstetrics & Gynecology | 705 Phillips, Huntsville, AR 72740 | 2007-07-20 |
| 1902003643 | St Johns Clinic Inc | Durable Medical Equipment & Medical Supplies | 2055 S. Fremont, Suite 200, Springfield, MO 65804 | 2007-06-27 |
| 1487815304 | St Johns Clinic Inc | Obstetrics & Gynecology | 24 Norris St, Eureka Springs, AR 72632-3541 | 2008-06-23 |
| 1447439633 | St Johns Clinic Inc | Advanced Practice Midwife | 613 Orchard Dr, Berryville, AR 72616-5013 | 2007-10-24 |
| 1053518522 | St Johns Clinic Inc | Durable Medical Equipment & Medical Supplies | 518 Pine St, Steelville, MO 65565-6041 | 2007-06-28 |
| 1649477118 | St Johns Clinic Inc | Durable Medical Equipment & Medical Supplies | 1235 E Cherokee St, Springfield, MO 65804-2203 | 2007-06-28 |
| 1831396399 | St Johns Clinic Inc | Durable Medical Equipment & Medical Supplies | 404 W Rolla Rd, Salem, MO 65560-1233 | 2007-06-28 |
| 1962609446 | St Johns Clinic Inc | Durable Medical Equipment & Medical Supplies | 2711 S Meadowbrook Ave, Springfield, MO 65807-5924 | 2007-06-28 |
| 1871790352 | St Johns Clinic Inc | Durable Medical Equipment & Medical Supplies | 2754 W Republic Rd, Springfield, MO 65807-3901 | 2007-06-28 |
| 1033316591 | St Johns Clinic Inc | Durable Medical Equipment & Medical Supplies | 114 Downey Pl, Cuba, MO 65453-1640 | 2007-06-28 |
| Street Address |
1106 W JACKSON ST |
| City | OZARK |
| State | MO |
| Zip Code | 65721-9164 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790874931 | Holly J. Benedict | Family Medicine | 1106 W Jackson St, Ozark, MO 65721-9164 | 2006-10-12 |
| 1891145827 | Matthew Hansen | Optometrist | 1106 W Jackson St, Ozark, MO 65721-9164 | 2016-06-21 |
| 1659444305 | Eric Bryan Engel | Physician Assistant | 1106 W Jackson St, Ozark, MO 65721-9164 | 2006-11-17 |
| 1063596278 | Rick W. Williams | Family Medicine | 1106 W Jackson St, Ozark, MO 65721-9164 | 2006-10-24 |
| 1487744322 | Audrey L. Gordin | Family Medicine | 1106 W Jackson St, Ozark, MO 65721-9164 | 2006-10-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063054880 | Ramya Sravani Pakala | Family Medicine | 5571 N. 21st St., Ozark, MO 65721 | 2019-10-14 |
| 1871073346 | Regional Services | Nurse Practitioner | 1350 W Bluff Dr, Ozark, MO 65721 | 2018-08-15 |
| 1932602125 | Clarence William Jaggard Jr. | Family Medicine | Ozark Valley Medical Clinic 5571 N. 21st St., Ozark, MO 65721 | 2018-03-14 |
| 1053826750 | Veronica Keller | Speech-Language Pathologist | 3608 N. Highway Nn, Ozark, MO 65721 | 2017-12-05 |
| 1124546304 | Kara Nicole Peterson | Speech-Language Pathologist | 302 N 4th Ave., Ozark, MO 65721 | 2017-09-07 |
| 1912391368 | Mobile X-ray Services, LLC | Clinic/Center | 3050 N. 20th Street, Ozark, MO 65721 | 2015-03-24 |
| 1073787289 | Melissa Milan | Counselor | 332 South 3rd Street, Ozark, MO 65721 | 2008-04-17 |
| 1306038948 | Preferred Hospice of Missouri Southwest LLC | Hospice Care, Community Based | 1567 West Diane, Suite B, Ozark, MO 65721 | 2007-08-17 |
| 1508073040 | Retirement At Century Pines Inc. | Assisted Living Facility | 709 E. Mccracken, Ozark, MO 65721 | 2007-05-16 |
| 1184844482 | Ozark Medical Imaging Center | Radiology | 1500 W State Hwy J, Ozark, MO 65721 | 2007-04-27 |
| Find all providers in zip 65721 | ||||
| Taxonomy Code | 332B00000X |
| Grouping | Suppliers |
| Classification | Durable Medical Equipment & Medical Supplies |
| A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient’s use in the home and that are usable for an extended period of time. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073688594 | Aabon Home Health Care Supply, Inc. | Durable Medical Equipment & Medical Supplies | 136 E Reynolds St, Ozark, AL 36360-1530 | 2006-11-21 |
| 1942384748 | Medi Quik Pharmacy Inc | Durable Medical Equipment & Medical Supplies | 810 W Commercial St, Ozark, AR 72949-3010 | 2006-10-25 |
| 1508949066 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 1675 W South St, Ozark, MO 65721-5152 | 2006-10-20 |
| 1609976893 | Alliance Rehab & Medical Equipment | Durable Medical Equipment & Medical Supplies | 2205 Petrus Circle, Ozark, MO 65721-9206 | 2006-09-25 |
| 1083632400 | Wal-mart Stores East Lp | Durable Medical Equipment & Medical Supplies | 1537 S Us Highway 231, Ozark, AL 36360-2846 | 2006-07-17 |
| 1326065715 | Walmart Inc. | Durable Medical Equipment & Medical Supplies | 1516 N 18th St, Ozark, AR 72949-3611 | 2006-07-16 |
| 1427075746 | Wal-mart Stores East Lp | Durable Medical Equipment & Medical Supplies | 2004 W Marler Ln, Ozark, MO 65721-7661 | 2006-07-16 |
| 1801861877 | Family Pharmacy Inc | Durable Medical Equipment & Medical Supplies | 1142 W Jackson St, Ozark, MO 65721-9164 | 2006-02-22 |
| 1386617546 | Family Pharmacy Inc | Durable Medical Equipment & Medical Supplies | 1156 W Jackson St, Ozark, MO 65721-9164 | 2006-02-08 |
| 1225517022 | Smith Management Services, LLC | Durable Medical Equipment & Medical Supplies | 1156 W Jackson St, Ozark, MO 65721-9164 | 2018-08-13 |
| Find all providers in OZARK | ||||
Please comment or provide details below to improve the information on ST JOHNS CLINIC INC.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.