| Sgoh Acquisition, Inc. | |
|
109 N Broadway St South West City MO 64863-9417 | |
| (417) 762-3287 | |
| Not Available |
| Full Name | Sgoh Acquisition, Inc. |
|---|---|
| Speciality | Clinic/Center |
| Location | 109 N Broadway St, South West City, Missouri |
| Authorized Official Name and Position | Paul Taylor (CEO) |
| Authorized Official Contact | 4178374090 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Sgoh Acquisition, Inc. 109 N Broadway St South West City MO 64863-9417 Ph: () - | Sgoh Acquisition, Inc. 109 N Broadway St South West City MO 64863-9417 Ph: (417) 762-3287 |
| NPI Number | 1801343405 |
|---|---|
| Provider Enumeration Date | 09/01/2016 |
| Last Update Date | 09/15/2016 |
| Medicare PECOS PAC ID | 5092616276 |
|---|---|
| Medicare Enrollment ID | O20170202000120 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1801343405 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QR1300X | Clinic/center - Rural Health | (* (Not Available)) | Primary |
Southwest City Community Clinic Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 109 N Broadway St, South West City, MO 64863 Phone: 417-762-3287 Fax: 417-762-3255 | |
Southwest City Community Clinic Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 109 N Broadway, South West City, MO 64863 Phone: 417-762-3287 Fax: 417-762-3255 | |
Access Family Care Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 411 Academy St, South West City, MO 64863 Phone: 417-451-9450 Fax: 417-451-8903 |