SGOH ACQUISITION, INC. (NPI# 1811391717) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1811391717 |
| Entity Type | Organization |
| Organization Name | SGOH ACQUISITION, INC. |
| Other Organization Name | OCH SPARTA CLINIC |
| Practice Address |
155 Village Drive Sparta MO 65753-8104 |
| Practice Telephone | 4176344203 |
| Practice Fax Number | 4176344505 |
| Mailing Telephone | 4176344203 |
| Mailing Fax Number | 4176344505 |
| Enumeration Date | 2014-10-21 |
| Last Update Date | 2017-11-17 |
| 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 |
Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| OCH SPARTA 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 |
| 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 |
155 VILLAGE DRIVE |
| City | SPARTA |
| State | MO |
| Zip Code | 65753-8104 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548450349 | Bryan L. Logan | Nurse Practitioner | 155 Village Drive, Sparta, MO 65673 | 2007-07-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043790504 | Regional Services | Nurse Practitioner | 8520 Mo-14, Sparta, MO 65753 | 2018-08-15 |
| 1972620383 | Bridges Medical Services P.C. | Clinic/Center | 155 Village Dr, Sparta, MO 65753 | 2007-03-23 |
| 1780801936 | Daniel Douglas Mccool | Speech-Language Pathologist | School Dist R 3 Sparta, 113 Division, Sparta, MO 65753-0160 | 2007-04-19 |
| 1255527990 | Mary Neal | Speech-Language Pathologist | 217 Division St, Sparta R IIi, Sparta, MO 65753-0160 | 2007-09-17 |
| 1689758872 | Rural Healthcare Providers Inc. | Family Medicine | 515 Hugh Ave, Sparta, MO 65753-0449 | 2006-10-24 |
| 1063425650 | Paul Boyd Glynn | Family Medicine | 515 Hugh Ave, Sparta, MO 65753-1220 | 2006-08-14 |
| 1043839491 | Ehsan Zandifar | Family Medicine | 515 Hugh Ave, Sparta, MO 65753-1220 | 2020-04-15 |
| 1750708335 | Betty S. Bruce | Nurse Practitioner | 515 Hugh Ave, Sparta, MO 65753-1220 | 2014-03-21 |
| 1215932488 | Arthur Joe Cohn | Internal Medicine | 155 Village Dr, Sparta, MO 65753-8104 | 2005-06-15 |
| 1689289282 | Eric B Hines | Family Medicine | 155 Village Dr, Sparta, MO 65753-8104 | 2020-09-10 |
| Find all providers in zip 65753 | ||||
| Taxonomy Code | 261QR1300X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Rural Health |
| Definition to come... |
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| 1972852341 | Jtp Enterprises, LLC | Clinic/Center | 287 Turntable Rd., Sparta, TN 38583 | 2012-08-31 |
| 1922242130 | Sparta Community Hospital | Clinic/Center | 211 South Burns Avenue, Sparta, IL 62286 | 2009-05-01 |
| 1750497194 | Sparta Community Hospital D/b/a Quality Healthcare Clinics | Clinic/Center | 207 South Burns Ave, Family Health Centre, Sparta, IL 62286 | 2006-08-21 |
| 1740395045 | Sparta Community Hospital D/b/a Quality Healthcare Clinics | Clinic/Center | 1300 North Campus, Sparta Community Hospital, North Campus, Sparta, IL 62286 | 2006-08-20 |
| 1326153552 | Sparta Communty Hospital D/b/a Quality Healthcare Clinics | Clinic/Center | 211 South Burns Ave, Quality Healthcare Surgery, Sparta, IL 62286 | 2006-08-20 |
| 1740395003 | Sparta Community Hospital D/b/a Quality Healthcare Clinics | Clinic/Center | 215 South Burns Avenue, Sparta, IL 62286 | 2006-08-20 |
| 1700421757 | Mercy Health Partners | Clinic/Center | 475 S State St, Sparta, MI 49345-1549 | 2019-11-14 |
| 1972620383 | Bridges Medical Services P.C. | Clinic/Center | 155 Village Dr, Sparta, MO 65753 | 2007-03-23 |
| 1366420788 | Mayo Clinic Health System - Franciscan Medical Center, Inc. | Clinic/Center | 310 West Main Street, Sparta, WI 54656 | 2006-01-05 |
| 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.