| Sgoh Acquisition, Inc. | |
|
104 E Main St Anderson MO 64831-4103 | |
| (417) 845-6984 | |
| Not Available |
| Full Name | Sgoh Acquisition, Inc. |
|---|---|
| Speciality | Clinic/Center |
| Location | 104 E Main St, Anderson, 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. 104 E Main St Anderson MO 64831-4103 Ph: (417) 845-6984 | Sgoh Acquisition, Inc. 104 E Main St Anderson MO 64831-4103 Ph: (417) 845-6984 |
| NPI Number | 1063969665 |
|---|---|
| Provider Enumeration Date | 09/01/2016 |
| Last Update Date | 11/17/2017 |
| Medicare PECOS PAC ID | 5092616276 |
|---|---|
| Medicare Enrollment ID | O20170207000588 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1063969665 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QR1300X | Clinic/center - Rural Health | (* (Not Available)) | Primary |
Ozark Tri-county Health Care Consortium Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 100 Mustang Dr, Anderson, MO 64831 Phone: 417-451-9450 Fax: 417-451-8903 | |
Ozark Tri-county Health Care Consortium Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 927 N 71 Business Hwy, Anderson, MO 64831 Phone: 417-845-2273 Fax: 417-845-0094 | |
Elk River Health Services, Inc. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 104 E Main Street, Anderson, MO 64831 Phone: 417-845-6984 Fax: 417-845-6976 | |
Ozark Tri-county Health Care Consortium Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 927 N 71 Business Hwy, Anderson, MO 64831 Phone: 417-845-8300 Fax: 417-845-8314 | |
Ozark Tri-county Health Care Consortium Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 927 N 71 Business Hwy, Anderson, MO 64831 Phone: 417-845-2273 Fax: 417-845-0094 | |
Freeman Neosho Hospital Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 510 Park St, Anderson, MO 64831 Phone: 417-845-0545 Fax: 417-845-0548 |