| St. John's Clinic, Inc. | |
|
940 W Mount Vernon St Nixa MO 65714-9609 | |
| (417) 724-5437 | |
| (417) 724-5433 |
| Full Name | St. John's Clinic, Inc. |
|---|---|
| Speciality | Clinic/center - Rural Health |
| Location | 940 W Mount Vernon St, Nixa, Missouri |
| Authorized Official Name and Position | Donn E. Sorensen (VICE PRESIDENT AMBULATORY CARE) |
| Authorized Official Contact | 4178206556 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| St. John's Clinic, Inc. Po Box 2580 Springfield MO 65801-2580 Ph: (417) 829-4620 | St. John's Clinic, Inc. 940 W Mount Vernon St Nixa MO 65714-9609 Ph: (417) 724-5437 |
| NPI Number | 1003187402 |
|---|---|
| Provider Enumeration Date | 01/18/2012 |
| Last Update Date | 01/18/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1003187402 | NPI | - | NPPES |
| PENDING | Other | MO | RURAL HEALTH MEDICARE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QR1300X | Clinic/center - Rural Health | (Missouri) | Primary |
Alps Health, Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1824 N State Highway Cc Ste B, Nixa, MO 65714 Phone: 417-719-4510 | |
Regional Services Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 501 N Old Wilderness Rd, Nixa, MO 65714 Phone: 417-269-2227 Fax: 417-269-2235 | |
417 Health Care Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 830 W Mount Vernon St Ste 10, Nixa, MO 65714 Phone: 417-374-4141 Fax: 417-374-4140 | |
Total Point Nixa Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1919 Fitz Ln, Nixa, MO 65714 Phone: 409-683-2457 |