SGOH ACQUISITION, INC. (NPI# 1386985521) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1386985521 |
| Entity Type | Organization |
| Organization Name | SGOH ACQUISITION, INC. |
| Other Organization Name | OCH MCDONALD COUNTY CLINIC |
| Practice Address |
125 Main St Noel MO 64854-9124 |
| Practice Telephone | 4174756151 |
| Practice Fax Number | 4174756559 |
| Mailing Telephone | 4174756151 |
| Mailing Fax Number | 4174756559 |
| Enumeration Date | 2013-03-13 |
| Last Update Date | 2013-07-09 |
| Authorized Official Name | PAUL G TAYLOR (CEO) |
| Authorized Official Telephone | 4178374090 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QR1300X |
Clinic/Center Specialization: Rural Health |
1454-13 | MO | Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| OCH MCDONALD COUNTY CLINIC | Doing Business As Name - Organization |
| 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 |
| 1063969665 | Sgoh Acquisition, Inc. | Clinic/Center | 104 E Main St, Anderson, MO 64831-4103 | 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 |
| 1225338155 | Sgoh Acquisition, Inc. | Clinic/Center | 543 W Hubble Dr, Marshfield, MO 65706-1532 | 2010-10-26 |
| Street Address |
125 MAIN ST |
| City | NOEL |
| State | MO |
| Zip Code | 64854-9124 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023252756 | Karen Madsen | Nurse Practitioner | 125 Main St, Noel, MO 64854-9124 | 2009-04-24 |
| 1548327950 | Jerry Lee Jumper | Family Medicine | 125 Main St, Noel, MO 64854-9124 | 2007-01-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518095181 | Noel Pharmacy LLC | Pharmacy | 222 Main, Noel, MO 64854-0428 | 2007-03-02 |
| 1326400466 | Rosa Montero Maldonado | Occupational Therapy Assistant | 319 S Cliffside Dr, Noel, MO 64854-9133 | 2016-03-28 |
| 1194129833 | Wal-mart Stores East Lp | Durable Medical Equipment & Medical Supplies | 508 N Cliffside Dr, Noel, MO 64854-9142 | 2014-10-09 |
| 1912465972 | Daisy Jacobo | Occupational Therapy Assistant | 171 Huntley Ln, Noel, MO 64854-9383 | 2019-03-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912465972 | Daisy Jacobo | Occupational Therapy Assistant | 171 Huntley Ln, Noel, MO 64854-9383 | 2019-03-08 |
| 1326400466 | Rosa Montero Maldonado | Occupational Therapy Assistant | 319 S Cliffside Dr, Noel, MO 64854-9133 | 2016-03-28 |
| 1194129833 | Wal-mart Stores East Lp | Durable Medical Equipment & Medical Supplies | 508 N Cliffside Dr, Noel, MO 64854-9142 | 2014-10-09 |
| 1518095181 | Noel Pharmacy LLC | Pharmacy | 222 Main, Noel, MO 64854-0428 | 2007-03-02 |
| Taxonomy Code | 261QR1300X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Rural Health |
| Definition to come... |
| 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 |
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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.