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Contact Information

ST JOHNS REGIONAL MEDICAL CENTER
2931 MCCLELLAND BLVD
JOPLIN, MO64804-1633
 Phone: 417-781-2727
 Fax: 417-625-2910
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Rehabilitation Unit

273Y00000X A0[7] Hospital-Rehabilitation Unit
Indicates primary specialty

NPI Profile & details for ST JOHNS REGIONAL MEDICAL CENTER

NPI Number 1811084635
LBN Legal business name ST JOHNS REGIONAL MEDICAL CENTER
Authorized official GARY PULSIPHER - (CEO PRESIDENT)
Entity Organization
Organization subpart 1 Yes
Enumeration date 10/05/2006
Last updated 11/25/2009 - About 17 years ago
Identifiers
MO License # 11840
MO Medicaid 010564508
KS Other 100000880A MEDICAID
OK Other 100693700A MEDICAID
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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