SGOH ACQUISITION, INC. (NPI# 1063969665) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1063969665 |
| Entity Type | Organization |
| Organization Name | SGOH ACQUISITION, INC. |
| Practice Address |
104 E Main St Anderson MO 64831-4103 |
| Practice Telephone | 4178456984 |
| Mailing Telephone | 4178456984 |
| Enumeration Date | 2016-09-01 |
| Last Update Date | 2017-11-17 |
| Authorized Official Name | PAUL TAYLOR (CEO) |
| Authorized Official Telephone | 4178374090 |
| Authorized Official Credential | JD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QR1300X |
Clinic/Center Specialization: Rural Health |
Ambulatory Health Care Facilities |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972050581 | Sgoh Acquisition, Inc. | Clinic/Center | 912b State Highway 59, Goodman, MO 64843-8252 | 2016-09-01 |
| 1982254371 | Sgoh Acquisition, Inc. | Clinic/Center | 1355 Rocketdyne Rd, Neosho, MO 64850-3106 | 2019-09-17 |
| 1457808669 | Sgoh Acquisition, Inc. | Clinic/Center | 2485 N Main St, Jay, OK 74346-2201 | 2016-09-06 |
| 1801343405 | Sgoh Acquisition, Inc. | Clinic/Center | 109 N Broadway St, South West City, MO 64863-9417 | 2016-09-01 |
| 1386191989 | Sgoh Acquisition, Inc. | Clinic/Center | 412 Us Highway 71, Suite J & I, Pineville, MO 64856-9310 | 2016-09-01 |
| 1326496100 | Sgoh Acquisition, Inc. | Clinic/Center | 2828 N National Ave, Springfield, MO 65803-4306 | 2016-06-02 |
| 1811391717 | Sgoh Acquisition, Inc. | Clinic/Center | 155 Village Drive, Sparta, MO 65753-8104 | 2014-10-21 |
| 1104229186 | Sgoh Acquisition, Inc. | Clinic/Center | 327 E Airport Dr, Carthage, MO 64836-3402 | 2014-10-03 |
| 1386985521 | Sgoh Acquisition, Inc. | Clinic/Center | 125 Main St, Noel, MO 64854-9124 | 2013-03-13 |
| 1225338155 | Sgoh Acquisition, Inc. | Clinic/Center | 543 W Hubble Dr, Marshfield, MO 65706-1532 | 2010-10-26 |
| Street Address |
104 E MAIN ST |
| City | ANDERSON |
| State | MO |
| Zip Code | 64831-4103 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700392537 | Angela R Williams | Registered Nurse | 104 E Main St, Anderson, MO 64831-4103 | 2017-12-15 |
| 1710355615 | Jennifer Joann Clark | Nurse Practitioner | 104 E Main St, Anderson, MO 64831-4103 | 2015-09-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447806492 | Ronna Layne Duncan | Occupational Therapist | 734 Industrial Dr, Anderson, MO 64831 | 2019-08-15 |
| 1578961652 | Heidsha L Peterson | Dental Hygienist | 927 N 71 Business Hwy, Anderson, MO 64831 | 2014-12-05 |
| 1851794796 | Wal-mart Stores East Lp | Durable Medical Equipment & Medical Supplies | 224 E Hwy 76, Anderson, MO 64831 | 2014-10-07 |
| 1194141317 | Rebecca A Bender | Nurse Practitioner | 510 Park Street, Anderson, MO 64831 | 2014-03-12 |
| 1205161726 | Kimberly Ann George | Dental Assistant | 508 W. Hwy. 71, Anderson, MO 64831 | 2009-10-16 |
| 1720240500 | Camille Reynaud Hatcher | Dental Hygienist | 508 W 76 Highway, Anderson, MO 64831 | 2008-07-02 |
| 1548469398 | Samantha Jean Sutton | Dentist | 508 W. 76 Hwy, Anderson, MO 64831 | 2007-07-12 |
| 1386774412 | Area Community Health Emissaries, Inc. | Dentist | 508 W 76 Hwy, Anderson, MO 64831 | 2007-03-07 |
| 1336279470 | Avoyn Forga | Dentist | 508 West 76 Hwy., Anderson, MO 64831 | 2007-03-07 |
| 1225142292 | Mustang Drug Inc | Pharmacy | 704 C South Hwy 59, Anderson, MO 64831 | 2006-08-18 |
| Find all providers in zip 64831 | ||||
| Taxonomy Code | 261QR1300X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Rural Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134128721 | Elk River Health Services, Inc. | Clinic/Center | 104 E Main Street, Anderson, MO 64831-0750 | 2005-07-18 |
| 1437513686 | Freeman Neosho Hospital | Clinic/Center | 510 Park St, Anderson, MO 64831-9280 | 2016-04-13 |
| 1275685414 | Gateway Medical Center Inc | Clinic/Center | 3082 Mcmurray Dr, Anderson, CA 96007 | 2007-01-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871102137 | Washington County Memorial Hospital | Clinic/Center | 14206 Hwy C, Belgrade, MO 63622 | 2020-07-23 |
| 1891325072 | Scotland County Memorial Hospital | Clinic/Center | 55682 State Highway 6 Ste A, Edina, MO 63537-4268 | 2020-01-16 |
| 1639736457 | Southeast Health Center of Stoddard County LLC | Clinic/Center | 800 Us Highway 61, New Madrid, MO 63869-1106 | 2019-05-28 |
| 1134633456 | Pike County Memorial Hospital | Clinic/Center | 1420 S Business 61 Unit Fde, Bowling Green, MO 63334-5230 | 2017-11-22 |
| 1720505894 | Perry County Health System | Clinic/Center | 210 Hospital Ln Ste 202, Perryville, MO 63775-4200 | 2017-08-29 |
| 1427572007 | Missouri Delta Medical Center | Clinic/Center | 209 W Yoakum Ave, Chaffee, MO 63740-1138 | 2017-07-26 |
| 1790213676 | Jackson Primary Care LLC | Clinic/Center | 2685 E Main St Ste A, Jackson, MO 63755-2474 | 2017-05-23 |
| 1972050581 | Sgoh Acquisition, Inc. | Clinic/Center | 912b State Highway 59, Goodman, MO 64843-8252 | 2016-09-01 |
| 1144605312 | Nevada City Hospital | Clinic/Center | 627 S Ash St Ste B, Nevada, MO 64772 | 2015-07-29 |
| 1669856829 | Ssm Regional Health Services | Clinic/Center | 2511 W Edgewood Dr Ste F, Jefferson City, MO 65109-5869 | 2015-07-16 |
| Find all providers with the same taxonomy | ||||
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| 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.