| Sgoh Acquisition, Inc. | |
|
125 Main St Noel MO 64854-9124 | |
| (417) 475-6151 | |
| (417) 475-6559 |
| Full Name | Sgoh Acquisition, Inc. |
|---|---|
| Speciality | Clinic/Center |
| Location | 125 Main St, Noel, 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. 125 Main St Noel MO 64854-9124 Ph: (417) 475-6151 | Sgoh Acquisition, Inc. 125 Main St Noel MO 64854-9124 Ph: (417) 475-6151 |
| NPI Number | 1386985521 |
|---|---|
| Provider Enumeration Date | 03/13/2013 |
| Last Update Date | 07/09/2013 |
| Medicare PECOS PAC ID | 5092616276 |
|---|---|
| Medicare Enrollment ID | O20140409000194 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1386985521 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QR1300X | Clinic/center - Rural Health | 1454-13 (Missouri) | Primary |
Ozark Tri-county Health Care Consortium Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 318 Sulphur St, Noel, MO 64854 Phone: 417-451-9450 Fax: 417-451-8903 | |
Ozark Tri-county Health Care Consortium Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 14762 W State Highway 90, Noel, MO 64854 Phone: 417-451-9450 Fax: 417-451-8903 |