| Sgoh Acquisition, Inc. | |
|
215 E 3rd St Carthage MO 64836-1661 | |
| (417) 237-0604 | |
| (417) 237-0613 |
| Full Name | Sgoh Acquisition, Inc. |
|---|---|
| Speciality | Clinic/Center |
| Location | 215 E 3rd St, Carthage, Missouri |
| Authorized Official Name and Position | Paul G 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. 215 E 3rd St Carthage MO 64836-1661 Ph: (417) 237-0604 | Sgoh Acquisition, Inc. 215 E 3rd St Carthage MO 64836-1661 Ph: (417) 237-0604 |
| NPI Number | 1104229186 |
|---|---|
| Provider Enumeration Date | 10/03/2014 |
| Last Update Date | 06/03/2025 |
| Medicare PECOS PAC ID | 5092616276 |
|---|---|
| Medicare Enrollment ID | O20150611002608 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1104229186 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QR1300X | Clinic/center - Rural Health | (* (Not Available)) | Primary |
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